| Approach to the Patient with CNS InfectionDefinition
- Acute central nervous system (CNS) infections include the following distinct clinical syndromes:
- Acute bacterial meningitis
- Nonbacterial meningitis (viral, fungal, mycobacterial, parasitic)
-
Encephalitis
- Focal infections such as:
- Brain abscess
- Subdural empyema
- Infectious venous thrombosis
- A CNS infection may predominantly involve:
- Subarachnoid space (meningitis)
- Brain tissue in the cerebral hemispheres, cerebellum, or brainstem (encephalitis, generalized or localized)
- Both the subarachnoid space and brain tissue (meningoencephalitis)
- Focal bacterial, fungal, or parasitic infections involving brain tissue are classified as abscess (capsule present) or cerebritis (capsule absent).
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