May 22, 2023 · To help comfort your baby, you can: give them a cuddle; offer them extra cool drinks (if you're breastfeeding, your child may feed more often) take them for a walk in the fresh air; If the injection site is red, swollen or tender, put a clean cold cloth to the area for about 5 to 10 minutes – this may help to soothe your baby. After the MMR ... Children can develop meningitis from close contact with a person who has the infection or through surfaces and inanimate objects infected with the germ that causes meningitis. A simple cold or...Meningitis is an inflammation of the thin membranes that cover the brain and the spinal cord. It is most often caused by a bacterial or viral infection that moves into the cerebral spinal fluid. A fungus or parasite may also cause meningitis. Meningitis caused by a virus is more common and usually less severe. Mar 16, 2022 · Serogroup B meningococcal vaccines, such as Bexero or Trumenba. All children should be vaccinated at 11 or 12 with one of the conjugate vaccines, with a booster dose at age 16. As for the serogroup B vaccine, teens should definitely get it if. they have a complement deficiency (this is something that is generally diagnosed by the teenage years). Two serious bacterial infections in a two-year period (meningitis, blood infection, or pneumonia) Swelling of the parotid gland (salivary glands located in front of the ear) Oral thrush that lasts for more than two months. A yeast infection that occurs in the digestive track or lungs. Constant or recurring sinus infections. Constant or ... Children can develop meningitis from close contact with a person who has the infection or through surfaces and inanimate objects infected with the germ that causes meningitis. A simple cold or...Press the bottom or side of a clear drinking glass firmly against the rash. Check if the rash fades under the pressure of the glass. If the rash does not fade, your child may have septicaemia caused by the meningitis germ. Get medical help at once. Meningitis tumbler test - The rash doesn't fade if you press the side of a clear glass firmly ...May 11, 2009 · Meningitis is characterized by inflammation of the membranes (meninges) around the brain or spinal cord. Inflammation can begin suddenly (acute) or develop gradually (subacute). Major symptoms may include fever, headache, and a stiff neck, sometimes with aching muscles. Nausea, vomiting and other symptoms may occur. View Full Report. Babies who get group B strep a week or so after birth may have signs such as: Decreased movement of an arm or leg. Pain with movement of an arm or leg. Breathing problems. Fever. Red area on the face or other part of the body. Pregnant women may have group B strep without symptoms. When they have symptoms, these may include: Having to urinate ... Younger kids will need a vaccine if they're at a greater risk of getting meningitis because they: Have complement component deficiency, a rare immune system disease. Have spleen damage or had ... Seizures. Sleepiness or trouble waking. Sensitivity to light. No appetite or thirst. Skin rash in some cases, such as in meningococcal meningitis. Signs in newborns Newborns and infants may show these signs: High fever.Jan 27, 2023 · Seizures. Sleepiness or trouble waking. Sensitivity to light. No appetite or thirst. Skin rash in some cases, such as in meningococcal meningitis. Signs in newborns Newborns and infants may show these signs: High fever. Neonatal meningitis is a serious medical condition in infants that is rapidly fatal if untreated. Meningitis is an inflammation of the meninges , the protective membranes of the central nervous system , is more common in the neonatal period (infants less than 44 days old) than any other time in life, and is an important cause of morbidity and ...Email Meningitis Infections in Infants and Children Meningitis is a swelling (inflammation) of the tissues that cover the brain and spinal cord. Sometimes, the swelling affects the brain. Meningitis can be caused by medications, injuries, and conditions such as cancer and lupus, but the most common cause is infection.Dec 30, 2022 · Specific Immunization Reactions. Pain or swelling at the shot site for 1 to 2 days. (20% of children) Mild fever lasting 1 to 3 days begins 14 to 28 days after the shot (10%). Give acetaminophen or ibuprofen for fever over 102° F (39°C). Never give aspirin for fever, pain or within 6 weeks of getting the shot. Dec 30, 2022 · Specific Immunization Reactions. Pain or swelling at the shot site for 1 to 2 days. (20% of children) Mild fever lasting 1 to 3 days begins 14 to 28 days after the shot (10%). Give acetaminophen or ibuprofen for fever over 102° F (39°C). Never give aspirin for fever, pain or within 6 weeks of getting the shot. Baby & toddler Your baby’s health What to watch out for Meningitis in babies and children What is meningitis? Symptoms What to do if you think your child has meningitis What causes meningitis? How does a baby or child get meningitis?Jun 21, 2021 · through feces, saliva, nasal mucus, sputum, and blister fluid. Epstein-Barr virus: This virus can spread. Trusted Source. through bodily fluids such as saliva. A person can also get it after organ ... Signs and symptoms of meningitis include: fever. a severe headache. nausea. stiff neck. sensitivity to light. Meningitis often occurs due to pathogens such as viruses, bacteria, and fungi, and so ...Meningitis In Babies. Meningitis is an inflammation of the meninges, which is the tissue that surrounds and protects the brain and spinal cord. It’s most commonly caused by viral or bacterial infections. Meningitis is a serious condition that, left untreated, can be fatal in a short period of time and can cause life-altering complications in ... What causes meningitis in a child? Meningitis is most often caused by a bacterial or viral infection that moves into the cerebral spinal fluid (CSF). CSF is the fluid that protects and cushions the brain and spinal cord. A fungus or parasite may also cause meningitis. This is more common only in children with a weak immune system.Meningitis is when the membranes that surround and protect the brain and spinal cord become inflamed and swollen. This usually happens because the membranes, called the meninges, have become infected from bacteria or a virus. The inflammation can then cause damage to the brain or nerves. Oct 13, 2021 · Herpes meningitis is a type of viral meningitis resulting from infection with a herpes virus. Three types of herpes virus can cause HM: herpes simplex virus 1, herpes simplex virus 2, and ... Oct 13, 2021 · Herpes meningitis is a type of viral meningitis resulting from infection with a herpes virus. Three types of herpes virus can cause HM: herpes simplex virus 1, herpes simplex virus 2, and ... Neonatal meningitis is an uncommon but serious disease, with an incidence of 0.1–0.4 per 1000 live births. 1, 2 It can have severe long term sequelae in 12–29% of survivors, 2– 8 and milder impairment of neurological function occurs in another 15–38%. 3– 5, 8 Cognitive impairment has been shown in some follow up studies of neonatal ...Meningitis is when the membranes that surround and protect the brain and spinal cord become inflamed and swollen. This usually happens because the membranes, called the meninges, have become infected from bacteria or a virus. The inflammation can then cause damage to the brain or nerves.purple-red skin rash or bruising. pale or blotchy skin. seizures (fits) The most common symptoms of meningitis in older children and adults are: fever. sensitivity to light. very bad headache and stiff or sore neck. nausea or vomiting and loss of appetite. tiredness and drowsiness. Meningitis is an inflammation of the meninges (meh-NIN-jeez), the membranes that cover the brain and spinal cord. Some types of meningitis (meh-nen-JYE-tis) can be dangerous and even life-threatening. Routine vaccinations can help prevent it. Quick treatment of meningitis usually is successful. So it's important to know what symptoms it can ...Bacterial meningitis is a devastating infection associated with high mortality and morbidity in the neonatal population. Prompt diagnosis and treatment are essential to achieving good outcomes in affected infants. While overall incidence and mortality have declined over the last several decades, morbidity associated with neonatal meningitis ... Press the bottom or side of a clear drinking glass firmly against the rash. Check if the rash fades under the pressure of the glass. If the rash does not fade, your child may have septicaemia caused by the meningitis germ. Get medical help at once. Meningitis tumbler test - The rash doesn't fade if you press the side of a clear glass firmly ...Summary. Meningitis is inflammation of the thin tissue that surrounds the brain and spinal cord, called the meninges. There are several types of meningitis. The most common is viral meningitis. You get it when a virus enters the body through the nose or mouth and travels to the brain. Bacterial meningitis is rare, but can be deadly.Spinal meningitis is inflammation of the brain and spinal cord due to an infection. Types of meningitis include viral, bacterial, fungal, parasitic, amoebic, and noninfectious. Symptoms typically include headache, fever, and neck stiffness. Treatment depends on the type of meningitis but can include antibiotics, pain relievers, or hospitalization.Jan 27, 2023 · Bacterial meningitis. Acute bacterial meningitis must be treated right away with intravenous antibiotics and sometimes corticosteroids. This helps to ensure recovery and reduce the risk of complications, such as brain swelling and seizures. The antibiotic or combination of antibiotics depends on the type of bacteria causing the infection. May 11, 2009 · Meningitis is characterized by inflammation of the membranes (meninges) around the brain or spinal cord. Inflammation can begin suddenly (acute) or develop gradually (subacute). Major symptoms may include fever, headache, and a stiff neck, sometimes with aching muscles. Nausea, vomiting and other symptoms may occur. View Full Report. Meningitis is acute or chronic inflammation of the protective membranes covering the brain and spinal cord, collectively called the meninges. The most common symptoms are fever, headache, and neck stiffness. Other symptoms include confusion or altered consciousness, nausea, vomiting, and an inability to tolerate light or loud noises.In many cases, they are harmless. Bacterial meningitis occurs when these bacteria get in your bloodstream and travel to your brain and spinal cord to start an infection. Most bacteria that cause ...To help comfort your baby, you can: give them a cuddle; offer them extra cool drinks (if you're breastfeeding, your child may feed more often) take them for a walk in the fresh air; If the injection site is red, swollen or tender, put a clean cold cloth to the area for about 5 to 10 minutes – this may help to soothe your baby. After the MMR ...Neonatal meningitis is a serious medical condition in infants that is rapidly fatal if untreated. Meningitis is an inflammation of the meninges , the protective membranes of the central nervous system , is more common in the neonatal period (infants less than 44 days old) than any other time in life, and is an important cause of morbidity and ...Infant development milestones for a 7- to 9-month-old include sitting, standing and laughing. By Mayo Clinic Staff. As your baby becomes more mobile and curious, infant development takes off. It might seem that your baby learns something new every day. Understand these next milestones and what you can do to promote your baby's growth.Many infections cause similar symptoms. Call your child's doctor or seek emergency medical care if your new baby shows any of these possible signs of infection: poor feeding. breathing difficulty. listlessness. decreased or elevated temperature. unusual skin rash or change in skin color. persistent crying. unusual irritability.Infant development milestones for a 7- to 9-month-old include sitting, standing and laughing. By Mayo Clinic Staff. As your baby becomes more mobile and curious, infant development takes off. It might seem that your baby learns something new every day. Understand these next milestones and what you can do to promote your baby's growth.All 11 to 12 year olds should receive a meningococcal conjugate vaccine. Since protection wanes, CDC recommends a booster dose at age 16 years. The booster dose provides protection during the ages when adolescents are at highest risk of meningococcal disease. For adolescents who receive the first dose at age 13 through 15 years, administer a ... Viral (aseptic) meningitis. Although very rare, a small number of people with HFMD get viral meningitis. It causes fever, headache, stiff neck, or back pain and may require the infected person to be hospitalized for a few days. Learn more about Viral Meningitis. Encephalitis or paralysisJun 15, 2023 · Meningitis is an infection of the protective membranes that surround the brain and spinal cord (meninges). It can affect anyone, but is most common in babies, young children, teenagers and young adults. Meningitis can be very serious if not treated quickly. It can cause life-threatening blood poisoning (septicaemia) and result in permanent ... Meningitis is characterized by inflammation of the membranes (meninges) around the brain or spinal cord. Inflammation can begin suddenly (acute) or develop gradually (subacute). Major symptoms may include fever, headache, and a stiff neck, sometimes with aching muscles. Nausea, vomiting and other symptoms may occur. View Full Report.The MMR vaccine is very safe. Most side effects are mild and do not last long, such as: the area where the needle goes in looking red, swollen and feeling sore for 2 to 3 days; around 7 to 11 days after the injection, babies or young children may feel a bit unwell or develop a high temperature for about 2 or 3 daysViral meningitis (when meningitis is caused by a virus) is the most common type of meningitis. Most people get better on their own without treatment. However, anyone with symptoms of meningitis should see a doctor right away because any type of meningitis can be serious. Only a doctor can determine if someone has meningitis, what is causing it ...Email Meningitis Infections in Infants and Children Meningitis is a swelling (inflammation) of the tissues that cover the brain and spinal cord. Sometimes, the swelling affects the brain. Meningitis can be caused by medications, injuries, and conditions such as cancer and lupus, but the most common cause is infection.Among adults 60 years of age and older, the more common signs and symptoms of hydrocephalus are: Loss of bladder control or a frequent urge to urinate. Memory loss. Progressive loss of other thinking or reasoning skills. Difficulty walking, often described as a shuffling gait or the feeling of the feet being stuck.Side effects linked to the vaccines are usually mild and tend to go away within a few days. Herd immunity is unlikely to prevent meningitis, so it is essential that people get vaccinated and have ...Younger kids will need a vaccine if they're at a greater risk of getting meningitis because they: Have complement component deficiency, a rare immune system disease. Have spleen damage or had ... Viral meningitis is an infection of the membranes (linings) that cover the brain and spinal cord. Symptoms and infectious periods vary depending on the virus responsible. Most people recover from viral meningitis. This publication is provided for education and information purposes only. It is not a substitute for professional medical care.Spread to others. People spread meningococcal bacteria to other people by sharing respiratory and throat secretions (saliva or spit). Generally, it takes close (for example, coughing or kissing) or lengthy contact to spread these bacteria. Fortunately, they are not as contagious as germs that cause the common cold or the flu. Apr 28, 2021 · Side effects linked to the vaccines are usually mild and tend to go away within a few days. Herd immunity is unlikely to prevent meningitis, so it is essential that people get vaccinated and have ... Severe viral meningitis may also be treated in hospital. Treatments include: antibiotics given directly into a vein. fluids given directly into a vein to prevent dehydration. oxygen through a face mask if there are any breathing difficulties. steroid medication to help reduce any swelling around the brain, in some cases. People with meningitis ... Viral meningitis is caused by viruses found in saliva, blood, nose drainage, and bowel movements. The virus is spread from an infected person to another through coughing, kissing, or sharing food or drinks. Your child may also get a type of viral meningitis if he or she is bitten by a mosquito that carries the West Nile virus.Meningitis is a disease caused by an inflammation of the meninges, the membranes that surround the brain and spinal cord. It's usually caused by a virus, although it can be caused by bacteria, a fungus, or tuberculosis. Treatment for meningitis depends on the specific cause of the disease. Vaccinations can prevent or minimize the incidence of ...Seizures. Sleepiness or trouble waking. Sensitivity to light. No appetite or thirst. Skin rash in some cases, such as in meningococcal meningitis. Signs in newborns Newborns and infants may show these signs: High fever.Sep 2, 2022 · Meningitis is a serious illness that causes inflammation of the membranes around the spinal cord and neck. It can be fatal without prompt treatment. The meningitis vaccine is one of the best ways ... Children are at a higher risk of meningitis caused by a bacterial or viral infection. Children more likely to get the illness include: Newborns and babies (Because their immune systems are not well developed, the bacteria can get into the bloodstream more easily.) Children with frequent sinus infections Viral meningitis is an infection of the membranes (linings) that cover the brain and spinal cord. Symptoms and infectious periods vary depending on the virus responsible. Most people recover from viral meningitis. This publication is provided for education and information purposes only. It is not a substitute for professional medical care.Email Meningitis Infections in Infants and Children Meningitis is a swelling (inflammation) of the tissues that cover the brain and spinal cord. Sometimes, the swelling affects the brain. Meningitis can be caused by medications, injuries, and conditions such as cancer and lupus, but the most common cause is infection.Viral (aseptic) meningitis. Although very rare, a small number of people with HFMD get viral meningitis. It causes fever, headache, stiff neck, or back pain and may require the infected person to be hospitalized for a few days. Learn more about Viral Meningitis. Encephalitis or paralysisAbstract. Group B streptococcus (GBS) infection remains a leading cause of sepsis, pneumonia, and meningitis in infants. Rates of GBS early onset disease have declined following the widcespread use of intrapartum antibiotic prophylaxis; hence, late-onset infections (LOGBS) are currently a common presentation of neonatal GBS dicsease.Infants with meningitis can have a variety of symptoms, including: a fever. shivering. a stiff neck. arching of the back. cold hands and feet. turning away from light. excessive irritability, such ...Sep 17, 2019 · Summary. Meningitis is inflammation of the thin tissue that surrounds the brain and spinal cord, called the meninges. There are several types of meningitis. The most common is viral meningitis. You get it when a virus enters the body through the nose or mouth and travels to the brain. Bacterial meningitis is rare, but can be deadly. Child and Adolescent Immunization Schedule by Age. Recommendations for Ages 18 Years or Younger, United States, 2023. Print. Please see the most up-to-date COVID-19 vaccine recommendations and new or updated recommendations for RSV , Influenza, pneumococcal, polio, and Mpox vaccines. These have been adopted by the CDC Director and are official.purple-red skin rash or bruising. pale or blotchy skin. seizures (fits) The most common symptoms of meningitis in older children and adults are: fever. sensitivity to light. very bad headache and stiff or sore neck. nausea or vomiting and loss of appetite. tiredness and drowsiness. Your baby can get meningitis when bacteria, viruses, or a fungus infecting another part of their body travels in the bloodstream to their brain and spinal cord. Out of 1,000 live births,...Viral meningitis is an infection of the membranes (linings) that cover the brain and spinal cord. Symptoms and infectious periods vary depending on the virus responsible. Most people recover from viral meningitis. This publication is provided for education and information purposes only. It is not a substitute for professional medical care.The pneumococcal vaccine offers protection against serious infections caused by pneumococcal bacteria, including meningitis. Babies are offered the pneumococcal vaccine as 2 separate injections at 12 weeks with a booster given at 1 year of age. A single dose is offered to adults aged 65 or over. Find out more about the pneumococcal vaccine.Meningococcal bacteria. Meningococcal disease is caused by the bacterium Neisseria meningitidis. There are several different groups of meningococcal bacteria including groups A, B, C, Y and W (previously called W135). These groups of bacteria can be further divided into specific strains. Most cases in New Zealand are caused by group B.Feb 8, 2011 · Newborn babies are immune to some diseases because they have antibodies they get from their mothers, usually before they are born. However, this immunity lasts a few months. Most babies do not get protective antibodies against diphtheria, whooping cough, polio, tetanus, hepatitis B, or Hib from their mothers. Pregnant women who are at increased risk for serogroup A, C, W, or Y meningococcal disease may get MenACWY vaccines. Pregnant or breastfeeding women who are at increased risk for serogroup B meningococcal disease may get MenB vaccines. However, they should talk with a doctor to decide if the benefits of getting the vaccine outweigh the risks ...Do not administer meningococcal vaccines to: A person who has ever had a severe allergic reaction (e.g., anaphylaxis) after a previous dose; A person who has a severe allergy to any vaccine component; If otherwise indicated, vaccine providers may administer meningococcal vaccines to pregnant or breastfeeding women.Younger kids will need a vaccine if they're at a greater risk of getting meningitis because they: Have complement component deficiency, a rare immune system disease. Have spleen damage or had ...Early symptoms will be similar to the flu, and they can develop over a matter of hours or even days. Symptoms include: sudden high fever. stiff neck. severe headache. nausea or vomiting. confusion ...Newborn babies are immune to some diseases because they have antibodies they get from their mothers, usually before they are born. However, this immunity lasts a few months. Most babies do not get protective antibodies against diphtheria, whooping cough, polio, tetanus, hepatitis B, or Hib from their mothers.Abstract. Group B streptococcus (GBS) infection remains a leading cause of sepsis, pneumonia, and meningitis in infants. Rates of GBS early onset disease have declined following the widcespread use of intrapartum antibiotic prophylaxis; hence, late-onset infections (LOGBS) are currently a common presentation of neonatal GBS dicsease.Younger kids will need a vaccine if they're at a greater risk of getting meningitis because they: Have complement component deficiency, a rare immune system disease. Have spleen damage or had ...
Babies are at high risk of bacterial meningitis and often have symptoms that mimic other illnesses. Parents should be on the lookout for meningitis symptoms such as high fever, stiff neck, rigid extremities, vomiting, diarrhea, or a skin rash with lots of pinpoint-sized dots ( petechiae ) that are associated with invasive meningococcal disease .. Gra bilard 2384
Encephalitis also may cause changes in sight or hearing. Most people with infectious encephalitis have flu-like symptoms, such as: Headache. Fever. Aches in muscles or joints. Fatigue or weakness. Typically, these are followed by more-severe symptoms over a period of hours to days, such as: Stiff neck.Almost half of neonatal sepsis survivors return to the hospital at least once after recovery. Some babies develop an infection of the membranes surrounding their brain called meningitis. Newborns who have this condition may develop serious symptoms and side effects, including: Extreme sluggishness (lethargy).Feb 27, 2018 · Viral meningitis is the most common type, but it’s not usually life-threatening. The enteroviruses that cause meningitis can spread through direct contact with saliva, nasal mucus, or feces ... Sep 15, 2022 · About 2,000 cases of serious disease (bacteremia, pneumonia with bacteremia, and meningitis) occur each year in children under 5 years old in the United States. These illnesses can lead to disabilities like deafness, brain damage, or loss of arms or legs. About 1 out of 12 children who get pneumococcal meningitis dies. Meningitis can occur in people of all ages, but babies, children, and those with a weakened immune system are at the highest risk. Babies between birth and 1 month of age are more likely to ...Jan 27, 2023 · Bacterial meningitis. Acute bacterial meningitis must be treated right away with intravenous antibiotics and sometimes corticosteroids. This helps to ensure recovery and reduce the risk of complications, such as brain swelling and seizures. The antibiotic or combination of antibiotics depends on the type of bacteria causing the infection. Older children and adolescents have a stiff neck with a fever, headache, and confusion, and newborns and young infants are usually irritable, stop eating, vomit, or have other symptoms. The diagnosis is based on the results of a spinal tap and blood and urine tests. Some children die of meningitis even after receiving appropriate treatment. Among adults 60 years of age and older, the more common signs and symptoms of hydrocephalus are: Loss of bladder control or a frequent urge to urinate. Memory loss. Progressive loss of other thinking or reasoning skills. Difficulty walking, often described as a shuffling gait or the feeling of the feet being stuck.Feb 8, 2011 · Newborn babies are immune to some diseases because they have antibodies they get from their mothers, usually before they are born. However, this immunity lasts a few months. Most babies do not get protective antibodies against diphtheria, whooping cough, polio, tetanus, hepatitis B, or Hib from their mothers. Sep 1, 2023 · The MMR vaccine is very safe. Most side effects are mild and do not last long, such as: the area where the needle goes in looking red, swollen and feeling sore for 2 to 3 days; around 7 to 11 days after the injection, babies or young children may feel a bit unwell or develop a high temperature for about 2 or 3 days Extreme fatigue. Irritability. Blue color to the skin. Babies with group B strep bacteria could get serious complications like these: Pneumonia -- a lung infection. Meningitis -- inflammation in ...May 1, 2003 · Neonatal meningitis is an uncommon but serious disease, with an incidence of 0.1–0.4 per 1000 live births. 1, 2 It can have severe long term sequelae in 12–29% of survivors, 2– 8 and milder impairment of neurological function occurs in another 15–38%. 3– 5, 8 Cognitive impairment has been shown in some follow up studies of neonatal ... Viral meningitis (when meningitis is caused by a virus) is the most common type of meningitis. Most people get better on their own without treatment. However, anyone with symptoms of meningitis should see a doctor right away because any type of meningitis can be serious. Only a doctor can determine if someone has meningitis, what is causing it ...Enteroviruses can be spread when an infected person sneezes or coughs droplets into the air or on surfaces. A child may then breathe in droplets or touch a contaminated surface and touch their eyes, mouth, or nose. The viruses are treated with supportive care, such as fever or pain medicine, rest, and fluids.The MenB vaccine will protect your baby against infection by meningococcal group B bacteria. These bacteria are responsible for about 9 in every 10 meningococcal infections in young children. Meningococcal infections can be very serious, causing meningitis and sepsis. This can lead to severe brain damage, amputations and, sometimes, death. Jan 27, 2023 · Seizures. Sleepiness or trouble waking. Sensitivity to light. No appetite or thirst. Skin rash in some cases, such as in meningococcal meningitis. Signs in newborns Newborns and infants may show these signs: High fever. Email Meningitis Infections in Infants and Children Meningitis is a swelling (inflammation) of the tissues that cover the brain and spinal cord. Sometimes, the swelling affects the brain. Meningitis can be caused by medications, injuries, and conditions such as cancer and lupus, but the most common cause is infection.The ways a person can get meningitis depend on what has caused it. Causes include bacteria, viruses, fungi, parasites, amebas, trauma, and medications. Infants can also get bacterial meningitis ...Meningitis is an infection that causes inflammation of the membranes (the meninges) covering the brain and spinal cord. Bacterial meningitis is a true medical emergency that may result in death or brain injury even if treated. Bacterial strains that cause meningitis include Streptococcus pneumoniae, Haemophilus influenza, Neisseria meningitides ....
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