Meningococcal contact / Listeria / serotype replacement

HIGH-YIELD Appears 7×

Teaching point

Close contact of meningococcal disease -> chemoprophylaxis (ciprofloxacin/rifampicin). Gram-positive rod meningitis in at-risk host (dairy farmer/elderly/pregnant/neonate) -> Listeria (add amoxicillin). Rise in NON-vaccine strains after a vaccine programme -> serotype replacement.

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