Causes of Bacterial Meningitis by Route

Route

Bacteria

Infection in or around the head (eg, sinusitis, otitis, mastoiditis), sometimes with a leak of cerebrospinal fluid

Streptococcus pneumoniae

Haemophilus influenzae

Anaerobic and microaerophilic streptococci

Bacteroides species

Staphylococcus aureus

Penetrating head wound

S. aureus

Damaged skin (eg, skin infections, abscesses, pressure ulcers, large burns)

S. aureus

An infected shunt

S. epidermidis

A neurosurgical procedure

Gram-negative bacteria (eg, Klebsiella pneumoniae, Acinetobacter calcoaceticus, Escherichia coli)