Understanding Meningitis

A Comprehensive Guide to Causes, Symptoms, and Treatment

Neurology

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Last updated: Mar 24, 2025

What is Meningitis?

Meningitis is inflammation of the protective membranes (meninges) that surround the brain and spinal cord. This inflammation can be caused by infection with viruses, bacteria, or other organisms.

Types of Meningitis

  • Bacterial Meningitis: Most serious form, requires immediate medical attention
  • Viral Meningitis: Generally less severe, often resolves without treatment
  • Fungal Meningitis: Rare, typically affects immunocompromised individuals
  • Parasitic Meningitis: Very rare, usually contracted through contaminated water

Common Symptoms

Early Signs:

  • Severe headache
  • Stiff neck
  • High fever
  • Nausea and vomiting
  • Sensitivity to light
  • Confusion

Emergency Warning Signs:

  • Seizures
  • Decreased consciousness
  • Rapid breathing
  • Skin rash (particularly in bacterial meningitis)

Risk Factors

  • Age (young children and older adults)
  • Weakened immune system
  • Living in community settings
  • Skipping vaccinations
  • Recent head injury or surgery

Diagnosis

  1. Physical examination
  2. Blood tests
  3. Lumbar puncture (spinal tap)
  4. Imaging tests (CT or MRI)

Treatment Options

Bacterial Meningitis:

  • Intravenous antibiotics
  • Corticosteroids
  • Hospitalization required

Viral Meningitis:

  • Rest and hydration
  • Over-the-counter pain medications
  • Supportive care

Prevention

  • Vaccination
  • Good hygiene practices
  • Avoiding close contact with infected individuals
  • Maintaining a healthy immune system

When to Seek Medical Care

Seek immediate medical attention if you experience:

  • Sudden high fever
  • Severe, unusual headache
  • Confusion or difficulty concentrating
  • Neck stiffness
  • Seizures

Long-term Outlook

Prognosis varies depending on:

  • Type of meningitis
  • Speed of diagnosis
  • Promptness of treatment
  • Overall health status

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