Meningitis Symptoms and Complications Everyday Health

Meningitis Symptoms and Complications Everyday Health

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Meningitis Symptoms and Complications

By Joseph Bennington-CastroMedically Reviewed by Michael Natter, MDReviewed: September 7, 2022Medically ReviewedWhether it’s viral, bacterial, or fungal meningitis, the symptoms are generally the same; if you have a headache, a high fever, and can’t lower your chin to your chest, call a doctor.Getty Images A fever, severe headache, and stiff neck are the leading symptoms of meningitis. There are numerous ways that the meninges, or protective membranes around the brain and spinal cord, can become inflamed and turn into meningitis. Viral infections, particularly from enteroviruses, are the most common cause of meningitis. But other types of infections, including those from a wide variety of bacteria, fungi, and parasites, can also cause the disease. There are also many noninfectious causes of meningitis, including head injury, brain surgery, and certain cancers. Despite the range of causes, the symptoms of meningitis are generally the same, whether it’s viral, bacterial, or fungal.

What Are the Symptoms of Viral Meningitis

Sudden onset of fever, severe headache, and stiff neck are typically the initial signs of viral meningitis in both children and adults. If you have a high fever, headaches, and can’t lower your chin to your chest without intense pain, seek medical attention right away. Other common symptoms include: Nausea and vomitingPhotophobia, or sensitivity to bright lightsAltered mental states, such as confusion and difficulty concentrating Along with these symptoms, people with viral meningitis may also experience:Lethargy (lack of energy) or profound fatigueDecreased appetiteSleeping problems, such as sleepiness and difficulty fully rousing from sleep With viral meningitis, the symptoms are often less severe than with bacterial meningitis and develop at a slower pace. Most cases go away on their own within 7 to 10 days, however, a complete medical assessment is still necessary.

What Are Complications of Viral Meningitis

If complications accompany or follow viral meningitis, they are not as severe as with bacterial meningitis. According to a 2015 survey of more than 450 meningitis patients, those who had experienced viral meningitis reported these difficulties in the wake of recovery:

Symptoms and Complications of Viral Bacterial and Other Types of Meningitis

The two most common forms of bacterial meningitis are meningococcal meningitis (caused by the bacterium Neisseria meningitidis) and pneumococcal meningitis (caused by the bacterium Streptococcus pneumoniae). The symptoms of bacterial meningitis, which are the same as those of viral meningitis, typically develop rapidly over the course of three to seven days. As with viral meningitis, if you have a high fever, headaches, and can’t lower your chin to your chest, call a doctor right away. Children with bacterial meningitis may experience: FeverVomiting Respiratory difficulties Seizures or shock Infants may exhibit these symptoms:
LethargyA bulging fontanelle (a swollen soft spot on the head) Irritability when heldDifficulty focusing the gazeDifficulty being fed (1)

What Are Complications of Bacterial Meningitis

Most of the time, if bacterial meningitis is treated right away, people can return quickly to good health. Still, some cases can be fatal, and there may sometimes be long-term effects, such as:TirednessCognitive difficultiesHearing difficulties, including permanent hearing lossCoordination problemsBehavioral problems (in children)Speech problemsHeadaches The later stages of bacterial meningitis can cause severe and life-threatening complications, including:Septicemia (blood poisoning)SeizuresComaStrokeHemorrhage of the adrenal glands, which are glands on top of the kidneys that produce important, regulating hormones (2)Related Conditions

What s Causing Your Skin Rash

Septicemia due to meningococcal meningitis causes a rash that begins as tiny red spots that, if untreated, turn into larger purplish bruise-like spots. This is due to the blood leaking from damaged blood vessels underneath the skin. There’s a test to see whether this rash may be due to septicemia from meningococcal meningitis: If you press a glass on the rash, and the pressure doesn’t make the bumps fade, it means the rash may be caused by meningococcal meningitis. In darker skin, check for the rash inside the eyelids, on the palms of hands, and on the bottoms of feet. Cold feet and hands are other signs of septicemia.

What Are the Symptoms of Primary Amebic Meningoencephalitis

An infection from the microscopic amoeba (a single-celled organism) Naegleria fowleri can cause a very rare form of parasitic meningitis called primary amebic meningoencephalitis, or PAM, in which the brain is also inflamed. The initial symptoms of PAM — headache, fever, stiff neck, nausea, and vomiting — begin within the first seven days of becoming infected with the parasite. As the infection progresses, it can cause:ConfusionLack of attention to people and surroundingsLoss of balanceSeizuresHallucinations Without treatment, PAM usually results in death about five days after symptoms start. (3)

What Are Neonatal Meningitis Symptoms

Bacterial meningitis in newborns is called neonatal bacterial meningitis. The condition is very rare and occurs most often in babies with low birth weight. It’s been estimated that neonatal bacterial meningitis affects 2 in every 10,000 babies born full-term, and in 2 out of 1,000 low birth weight infants. (4)
The incidence of this disease has decreased over the last few decades, possibly due to increased maternal screenings for the bacteria that is primarily responsible for this disease. (5) That bacteria is Group B streptococcus (GBS). According to research, the following are among the risk factors for neonatal meningitis: (5)
Premature birthGBS infection in the motherFever in the motherLow birth weightFetal monitoring or other invasive procedures, like shunts or catheters Signs and symptoms of meningitis in newborns include:FeverDazed effectDifficulties focusing a gazeIrritability, especially when heldConstant cryingFrequent vomitingDifficulty being fedBulging fontanelle (swollen soft spot on the head)Constant sleepiness or trouble waking Neonatal meningitis caused by GBS may develop in an infant’s first week of life, but most often occurs in an infant’s first three months. (4)

How Is Meningitis Diagnosed

The following tests are used to diagnose meningitis:Lumbar punctures (also known as spinal taps)Blood testsImaging studies Lumbar punctures allow doctors to collect a sample of the fluid that bathes the brain and spinal cord to test for infection. The fluid is then examined to see if there are increased numbers of white blood cells and protein and decreased numbers of glucose. The spinal fluid can also be examined to identify infectious organisms and to see what type of medication would be most effective against that organism. Lumbar punctures and subsequent tests can also determine what kind of infection — bacterial, viral, fungal — is present. Standard blood tests can reveal if you have antibodies or foreign proteins that are indicative of an infection. Magnetic resonance imaging (MRI) and computerized tomography (CT) scans can reveal if you have inflammation, particularly of the meninges. These imaging tests can also show if you have other complications, such as brain damage and internal bleeding, and if you have any issues that may make a lumbar puncture unsafe to perform, including abscesses and brain inflammation. Additional reporting by Carlene Bauer.

Resources We Love

Meningitis NowMeningitis Research FoundationU.S. Department of Health and Human ServicesNEWSLETTERS

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Editorial Sources and Fact-Checking

Viral Meningitis Week: After Effects. Meningitis Now. May 7, 2015.After Effects. Meningitis Research Foundation.Naegleria Fowleri: Illness and Symptoms. Centers for Disease Control and Prevention. July 10, 2022.Neonatal Bacterial Meningitis. Merck Manual. July 2022.Ku L, Boggess K, Cohen-Wolkowiez M. Bacterial Meningitis in the Infant. Clinics in Perinatology. March 2015.

Additional Sources

Adrenal Gland. Cleveland Clinic. May 13, 2022.Bacterial Meningitis. Centers for Disease Control and Prevention. July 15, 2021.Complications of Meningitis. NHS. March 8, 2022.Group B Strep and Pregnancy. American College of Obstetricians and Gynecologists. July 2021.Khalessi N, Afsharkhas L. Neonatal Meningitis. Iranian Journal of Child Neurology. Autumn 2014.Mount HR, Boyle SD. Aseptic and Bacterial Meningitis: Evaluation, Treatment, and Prevention. American Family Physician. September 2017.Schrag SJ, Serani JR. Intrapartum Antibiotic Prophylaxis for the Prevention of Perinatal Group B Streptococcal Disease. Vaccine. August 2013.Septicemia. Johns Hopkins Medicine.Vaccine Knowledge Project: Group B Streptococcus. University of Oxford. January 28, 2022.Meningitis: Diagnosis and Treatment. Mayo Clinic. October 1, 2020.Dispel Viral Meningitis Myths. Meningitis Now. April 27, 2016.Meningococcal Meningitis and Sepsis: Guidance Notes [PDF]. Meningitis Research Foundation. 2018.Meningococcal Meningitis. MedlinePlus. October 25, 2020.Frequently Asked Meningitis Questions. Meningitis Now.Non-Infectious Meningitis. Centers for Disease Control and Prevention. July 15, 2021.Parasitic Meningitis. Centers for Disease Control and Prevention. April 6, 2019.Viral Meningitis. Centers for Disease Control and Prevention. May 25, 2021.Show Less

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