The clinical presentation of a 38-year-old female patient with acute o
nset of fever and decreased level of consciousness is described. The c
linical reasoning concerning, differential diagnosis, therapeutic opti
ons, workup of the patient and possible bacterial etiologies, which is
usually part of the physician's initial encounter with the patient, i
s included in the case presentation. This summary of a workshop offers
a concise review of clinical aspects of bacterial meningitis.