Drug-induced aseptic meningitis (DIAM) is a rare but important and often challenging diagnosis for the physician. Intake of antimicrobials, steroids, analgesics amongst others has been implicated. Signs and symptoms generally develop within 24-48 hours of drug ingestion. The patient often exhibits the classic symptoms of meningitis. Aim: Two cases of drug induced meningitis are presented with review of literature. Case reports: Case I:A 13 year old male with a three days history of persistent fever, vomiting, abdominal pain and poor appetite. He also had generalized throbbing headache and neck pain of a day's duration. He had been on Bactrim ® for urinary tract infection (UTI) three days prior to the onset of the present symptoms. On examination, he had altered mental status (confused), neck stiffness and a positive Kerning's and Brudzinski's signs. Muscle
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