Clinical Presentation:
Jamie is a 6yr old boy, had a restless night with a high temp, bad headache and grizzling. Refused breakfast in the morning, then started vomiting.
Mother calls GP, GP says if Jamie gets worse then to bring him in to the surgery straight away.
Jamie becomes more withdrawn, unresponsive, looking pale, clammy skin and cold hands, starts to complain about light from the window.
So essentially Jamie's symptoms at present are:
Sleepy, expressionless, irritable-> these are signs of altered consciousness
Refusing food, vomiting, diarrhoea and vomiting -> signs of an infection
He has a fever cold extremities and clammy skin -> signs of septic shock (due to peripheral vasoconstriction as a result of septicaemia)
He dislikes being handled, is irritable and has a high pitched cry -> signs of pain
Thus we can see that meningitis can initially present as flu.