- Knowing whether meningitis is caused by a virus or bacterium is important because the severity of illness and the treatment differ. Viral meningitis is generally less severe and resolves without specific treatment, while bacterial meningitis can be quite severe and may result in brain damage, hearing loss, or learning disability. For bacterial meningitis, it is also important to know which type of bacteria is causing the meningitis because antibiotics can prevent some types from spreading and infecting other people.
--is an infection of the fluid of a person's spinal cord and the fluid that surrounds the brain. People sometimes refer to it as spinal meningitis. Meningitis is usually caused by a viral or bacterial infection.
In newborns and small infants, the classic symptoms of:
neck stiffness may be absent or difficult to detect, and the infant may only appear slow or inactive, or be irritable, have vomiting, or be feeding poorly. As the disease progresses, patients of any age may have seizures.
The diagnosis is usually made by growing bacteria from a sample of spinal fluid. The spinal fluid is obtained by performing a spinal tap, in which a needle is inserted into an area in the lower back where fluid in the spinal canal is readily accessible.
Condition Glucose Protein Cells Acute bacterial meningitis low high high, often > 300/mm³ Acute viral meningitis normal normal or high mononuclear , < 300/mm³ Tuberculous meningitis low high pleocytosis , mixed < 300/mm³ Fungal meningitis low high < 300/mm³ Malignant meningitis low high usually mononuclear
Yes, some forms are bacterial meningitis are contagious. The bacteria are spread through the exchange of respiratory and throat secretions (i.e., coughing, kissing). Fortunately, none of the bacteria that cause meningitis are as contagious as things like the common cold or the flu, and they are not spread by casual contact or by simply breathing the air where a person with meningitis has been.
In such cases a CT or MRI scan is generally performed prior to the lumbar puncture to exclude these a CT or MRI is required before LP, or if LP proves difficult, professional guidelines suggest that antibiotics should be administered first to prevent delay in treatment, especially if this may be longer than 30 minutes. Often, CT or MRI scans are performed after the LP if not done previously to assess for complications of meningitis.
As a consequence there is an increase in brain water content and an increase in intracranial pressure.
penetrate the blood-brain barrier, endotoxin and inflammatory mediators initiate a CSF inflammatory response causing leakage of protein and fluid out of the cerebral vasculature. the processes delineated in septicemia occur in brain blood vessels, causing cerebral edema and cerebral vascular thrombosis.
A quadrivalent vaccine - Meningococcus vaccines exist against groups A, C, W135 and Y
Pneumococcal polysaccharide vaccine
In cases of meningococcal meningitis, prophylactic treatment of close contacts with antibiotics (e.g. rifampicin, ciprofloxacin or ceftriaxone) can reduce their risk of contracting the condition, but does not protect against future infections.