Community-acquired bacterial meningitis in adults is a diagnostic and therapeutic emergency due to its high morbidity and mortality. It is less frequent than viral meningitis, but more serious. Mortality can reach 20% in the acute phase, and sequelae affect around 30% of patients. The diagnosis of purulent meningitis should be suspected on initial clinical examination, in the presence of fever associated with signs of neuromeningeal damage requiring rapid and appropriate management. Community-acquired purulent meningitis is defined as an infectious syndrome with cloudy cerebrospinal fluid on lumbar puncture. The main germs responsible for community-acquired bacterial meningitis in adults are Streptococcus pneumoniae (S.pneumoniae) and Neisseria meningitidis (N.meningitidis).In recent years, several authors have reported a change in the epidemiological profile of bacterial meningitis following the introduction of new vaccines. These changes have influenced recommendations for the management of this serious disease.

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**Please note our transit times are from the date of dispatch.** We first started out as ?The Paperback Exchange,? a chain of physical bookstores where we would part exchange your beloved books for new stories to transport you to faraway places. However, as shopping started to evolve to online shops and marketplaces, we bid our stores goodbye to become ?PBShop.? This transition has only allowed us to blossom as we now ship thousands of titles to book lovers across the globe. We pride ourselves in being a community of local book lovers which allows our passion and devotion to shine in everything we do. In 2020 we not only celebrated our 20th birthday but our 1st birthday as being completely employee owned after becoming an E.O.T in September 2019. We are proud to be different and embrace standing apart on a book mountain by working from a virtual inventory which allows us to provide thousands of books that may be difficult to get for your bookshelf or your studies. Working with a number of different suppliers allows us to explore other avenues such as puzzles, sheet music and even stationery so we really do have something for everyone. Life is about being versatile in all realms of existence. If this is your first purchase with us, or you are a returning customer, we would like to welcome you to the PBShop family, for there is no friend as loyal as a book. We are a company who put our customers at the centre of everything we do as we understand the importance of reading because once you learn to read, you will forever be free. There are a whole lot of things in this world of ours that we are yet to explore, which is why we will forever inspire curious minds.

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Pbshop.co.uk
Unit 22 Horcott Industrial Estate, Horcott Road, Fairford, GL7 4BX, United Kingdom

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Returns Policy
We ask all customers to contact us for authorisation should they wish to return their order. Orders returned without authorisation may not be credited.
If you wish to return, please contact us within 14 days of receiving your order to obtain authorisation.
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Orders are shipped from our UK warehouse. Delivery thereafter is between 4 and 14 business days. Please contact us if you have any queries about our services or products.

Shipping rates from United Kingdom to U.S.A.

Shipping rates from United Kingdom to U.S.A.
Order quantity	10 to 20 business days	10 to 20 business days
First item	US$ 4.46	US$ 4.46

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