Introduction: Meningitis is a clinical syndrome characterized by inflammation of the meninges; it is one of the most common infectious diseases of the central nervous system (CNS). Infection with the human immunodeficiency virus (HIV) is emerging as a major risk factor for meningitis in adults. Meningitis causes significant morbidity and mortality globally. Long term sequelae of bacterial meningitis in adults include hearing and visual loss, seizures, and cognitive impairment