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One hundred cases of pneumococcal meningitis admitted to the Intensive Care Unit of the Infectious Diseases Department of the Hôpital Claude-Bernard, France are reviewed, and the course of this serious affection in this series described. Mortality was 38 p. cent as against that reported by INSERM of 45 p. cent. The original lesion was an ENT infection in 50 p. cent of cases, raising the problem of the need for early surgical intervention, on an otological focus which may appear minimal on otoscopic examination, when the meningitis does not respond to antibiotics.
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