A patient presents to a primary care provider reporting fever, headache, nuchal rigidity, and de-creased consciousness. History includes a previously treated sinusitis. Which medical diagnosis is best supported by this assessment data?
a. Aseptic meningitis
b. Bacterial meningitis
c. Fungal meningitis
d. Nonpurulent meningitis
ANS: B
Bacterial meningitis can occur secondary to sinusitis and is manifested by fever, tachycardia, chills, and a petechial rash with a severe throbbing headache, severe photophobia, and nuchal ri-gidity. The clinical manifestations of aseptic meningitis are milder than bacterial meningitis and are not associated with a previous infection such as sinusitis. Fungal meningitis presents as de-mentia. Nonpurulent meningitis is the same as aseptic and is milder and not associated with con-ditions such as sinusitis.
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