Meningitis is an inflammation of the meninges, the membranes that cover the brain and spinal
cord.
People of any age can get meningitis, but because it can spread easily among those
living in close quarters, teens, college students, and boarding-school students are
at higher risk for infection.
If dealt with quickly, meningitis can be treated successfully. So it's important
to get routine vaccinations, know the signs of meningitis, and get medical care right
away if you think that your child has the illness.
What Causes Meningitis?
Most cases are caused by bacteria
or viruses, but some can be due to certain medicines or illnesses.
Many of the
and
that cause meningitis are fairly common and cause other routine illnesses.
Both kinds of meningitis spread like most other common infections do — someone who's
infected touches, kisses, or coughs or sneezes on someone who isn't infected.
Bacterial Meningitis
Bacterial meningitis is rare, but is usually serious and can be life-threatening
if not treated right away.
In some cases of bacterial meningitis, the bacteria spread to the meninges from
a severe head trauma or a severe local infection, such as a serious ear
infection (otitis media) or nasal sinus infection (sinusitis).
Many different types of bacteria can cause bacterial meningitis. In newborns, the
most common causes are group
B strep,E. coli,
and less commonly, Listeria
monocytogenes. In older kids, Streptococcus pneumoniae (pneumococcus)
and Neisseria meningitidis (meningococcus) are often the causes.
Viral Meningitis
Viral meningitis (also called aseptic meningitis) is more common
than bacterial meningitis and usually less serious.
Many of the viruses that cause meningitis are common, such as those that cause
colds, diarrhea, cold
sores, and the flu.
What Are the Signs & Symptoms of Meningitis?
Meningitis symptoms vary, depending on the person's age and the cause of the infection.
The first symptoms can come on quickly or start several days after someone has had
a cold, diarrhea, vomiting, or other signs of an infection.
Common symptoms include:
fever
lack of energy
irritability
headache
sensitivity to light
stiff neck
skin rash
Meningitis in Infants
Infants with meningitis might have different symptoms. Babies might be cranky,
feed poorly, and be sleepy or hard to wake up. It may be hard to comfort them, even
when they're picked up and rocked. They also may have a fever or bulging fontanelle
(soft spot on head).
Other symptoms of meningitis in babies can include:
jaundice (a yellowish tint to the skin)
stiffness of the body and neck
a lower-than-normal temperature
a weak suck
a high-pitched cry
How Is Meningitis Diagnosed?
Bacterial meningitis can be very serious. So if you see symptoms or think that
your child could have meningitis, it's important to see the doctor right away.
If meningitis is suspected, the doctor will order tests, probably including a lumbar puncture (spinal tap) to collect a sample of spinal fluid.
This test will show any signs of
and whether the infection is due to a virus or bacteria.
How Is Meningitis Treated?
Most cases of viral meningitis end within 7 to 10 days. Some people might need
to be treated in the hospital, although kids usually can recover at home if they're
not too ill. Treatment to ease symptoms includes rest, fluids, and over-the-counter
pain medicine.
If bacterial meningitis is diagnosed — or even suspected — doctors will start
(IV) antibiotics as soon as possible. Fluids may be given to replace those
lost to fever, sweating, vomiting, and poor appetite.
What Problems Can Happen?
Complications of bacterial meningitis might need extra treatment. Someone with
shock or low blood pressure might get more IV fluids and medicines to increase blood
pressure. Some kids may need extra oxygen or mechanical ventilation if they have trouble
breathing.
Bacterial meningitis complications can be severe and include neurological problems,
such as hearing loss, visual impairment, seizures,
and learning disabilities. Because impaired hearing is a common complication, those
who've had bacterial meningitis should have a hearing test after they recover.
The heart, kidneys, and
also might be affected, depending on the cause of the infection. Although
some kids develop long-lasting neurological problems, most who get a quick diagnosis
and treatment recover fully.
Can Meningitis Be Prevented?
Vaccinations
Routine immunization
can go a long way toward preventing meningitis. The Hib,
measles, mumps, polio,
and pneumococcal
vaccines can protect against meningitis caused by those germs.
Kids also should get the meningococcal
conjugate vaccine when they're 11 or 12 years old, with a booster shot at age
16. Kids older than 11 who haven't been vaccinated also should be immunized, particularly
if they're going to college, boarding school, camp, or other settings where they'll
live in close quarters with others.
Kids 2 months to 11 years old are at higher risk for infection should get the meningococcal conjugate, including those who:
live in or travel to countries where infection is
common
have certain immune disorders
are present during an outbreak
A newer type of meningococcal vaccine called MenB
(which protects against a type of meningococcal bacterium not covered by the older
vaccine) can be given to teens and young adults at the discretion of their doctor. Kids
10 and older at high risk for infection should get the MenB vaccine.
Avoiding Germs
Kids and adults should wash
their hands well and often, particularly before eating and after using the bathroom,
and if they work closely with kids (as in a daycare). Avoid close contact with someone
who's obviously ill and don't share food, drinks, or eating utensils.
In some cases, doctors may give antibiotics to anyone who has been in close contact
with a person who has bacterial meningitis to help prevent infection.
When Should I Call the Doctor?
Get medical care right away if you think that your child has meningitis or you
see symptoms such as vomiting, headache, tiredness or confusion, neck stiffness, rash,
and fever. A baby who has a fever, is irritable, and isn't feeding well also should
be seen right away by a doctor.
If your child has been near someone who has meningitis, call your doctor to ask
whether preventive medicine is recommended.
