A 4-year-old child is admitted to the critical care unit with fever, chills, headache, vomiting, lethargy, photophobia, and nuchal rigidity. Based on these clinical manifestations, what is the anticipated diagnosis?
a. Status epilepticus c. Head trauma
b. Bacterial meningitis d. Septic shock
B
The clinical manifestations of bacterial meningitis include fever, chills, headache, vomiting, irritability or lethargy, photophobia, nuchal rigidity, and positive Kernig or Brudzinski sign. In meningococcemia, petechiae and purpura may be observed on the child. The late stages of this disease may produce an increased intracranial pressure and cardiovascular collapse.
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