Whenever any patient presents with headache and slightly high total leukocytic counts, the pertinent question gets raised is either prompt lumbar puncture (LP) is indicated or not. Usually patients with bacterial meningitis characteristically exhibit fever, neck rigidity and deranged mental status or headache. In majority of cases the causes are non-infective. Whilst meningococcal meningitis has a distinctive non-blanching rash and is promptly diagnosable from the CSF. Our report describes

more »

... se presentation with merely one aspect of the triad for acute bacterial meningitis and it raises query regarding reliance on guidelines based on the triad.