Meningitis (Adults/Children) | Medtick

Meningitis (Adults/Children)

What is it?

Bacterial and Viral Meningitis (the main focus in this chapter)

A Bacterial infection (more harmful including Meningococcal, Pneumococcal, Group B Strep) or a virus infection (less harmful) that causes swelling of meninges (a protective wall that surrounds the brain and spinal cord causing damage to nerves and brain).

  • This bacteria lives in the nasal passages causing no harm, however if entered in the bloodstream. It can cause septicaemia.
  • If the infection enters the brain it causes meningitis.
  • One can have both meningitis and septicaemia (meningococcal septicaemia).
  • Once a person is infected it takes from two to ten days for infection to show symptoms.

Other types of meningitis infections include:

  • Fungal Meningitis: Rare and generally affects people with weakened immune systems (i.e. those with HIV or cancer). It is usually treated with long-term antifungal medication.
  • Parasitic Meningitis: Extremely rare; often contracted by eating contaminated food or swimming in fresh water (Amoebic meningitis).
Non-Infectious Types
These forms are not contagious and are caused by other medical issues or substances:
  • Chemical Meningitis: Irritation caused by certain drugs (i.e. NSAIDs), chemicals, or brain surgery.
  • Carcinomatous (Malignant) Meningitis: Occurs when cancer cells spread to the meninges.
  • Autoimmune Meningitis: Triggered by conditions like lupus or rheumatoid arthritis.

Diagnosis Test

  • Lumbar puncture (LP) with CSF analysis
  • CSF microscopy
  • CSF Gram stain and culture
  • CSF PCR testing
  • CSF glucose level
  • CSF protein level
  • Blood cultures
  • Complete blood count (CBC/FBC)
  • C-reactive protein (CRP) / Procalcitonin
  • Blood glucose
  • CT or MRI brain scan
  • Chest X-ray or other tests
Type of meningitis CSF findings
Bacterial meningitis High WBC (mainly neutrophils), high protein, low glucose
Viral meningitis WBC increase (mainly lymphocytes), normal glucose, mildly raised protein
Tuberculous meningitis Lymphocytes, very high protein, low glucose
Fungal meningitis Lymphocytes, high protein, low glucose
  • The jolt sign
  • The “blanket sign,” which refers to a patient placing a blanket over their head, often signifies severe photophobia consistent with condition such as i.e. migraine or meningitis, traumatic brain injury.
  • See Images for diagnostic tests.

There are many strains i.e. A,B C,W,X,Y with in the sub groups of bacterial meningitis and tests need to be done to identify the type of strain and then to receive the right vaccine treatment.
Do not take Ibuprofen and other NSAIDs as it can worsen the condition. Ibuprofen and other NSAIDs is not recommended in asthma or asthma type symptoms. Check with your Medical doctor/Pharmacist when one can have any type of fever reducing medication to make sure it suitable for you.

Cause

  • Direct contact:
    • If infected person is of close proximity for a long period time involving talking, sneezes, cough, kissing and one breathes the bacteria/virus in.
    • This condition does not spread as easily. Sitting next to someone is not considered a risk, it normally requires very close contact involving the exchange of saliva i.e. kissing, sharing drinks or vapes.
  • Indirect contact:
    • bacteria/Virus is on surface and another touches the surface and then touch their mouth or nose.
    • Sharing utensils and towels

Syndromes

Symptoms

  • High temperature greater than 38°C (100°F) or over and/or chills and sweats?
  • Headache (severe)?
  • Stiff neck?
  • Purpuric Spot/rash (does not turn white under pressure)?
  • Rapid breathing and grunting and/or persistent hiccups?
  • Hate of bright lights?
  • Cold hands and feet?
  • Severe muscle pain?
  • Nausea and Vomiting?
  • Stomach cramps and diarrhoea?
  • Sleepiness (drowsy, difficult to wake)?
  • Confusion/delirious (irritated)?
  • Seizure/fits?

Complications /Information to beware of/General tips:

Medical Emergency Condition

And/or do not wait, phone for an ambulance if have or develop:


This condition may lead to:

  • Bacterial meningitis has many potential complications:
    • Brain damage
    • Brain herniation – high pressure inside the skull forces brain tissue to shift and squeeze through structures within the skull
    • Cranial nerve damage (neurological)
    • Hearing loss
    • Hydrocephalus – Build-up of excess cerebrospinal fluid (CSF) in the brain’s ventricles, causing increased pressure that can damage brain tissue.
    • Seizure
    • Ischemic stroke
  • Viral Meningitis (particularly if have herpes simplexvirus 1 infection):
    • Encephalitis
    • Aphasia – poor communication skills via the way you write and understand both spoken and written language.
    • Ataxia – poor balance and/or coordination, and slurred speech, stemming from a lack of control over muscle movements
    • Cognitive (i.e. thinking, reasoning, or remembering) damage
    • Loss of memory
    • Loss of coordination,
    • Loss of hearing/vision,
    • Tinnitus
    • Epilepsy

General tips

  • Avoid gatherings with friends and family as well as crowded places.
  • Social distancing guide
  • Self isolation guide
  • Coughing and sneezing into tissues and then bin it, if you have no tissue then in the crook (inside)  of your elbow.
  • Do not touch your face with unwashed hands
  • Avoid close contact with infected people (2 meter distance)
  • Do not share towels and utensils, dishes , drinking glasses
  • Clean and disinfect frequently touched objects and surfaces
  • How to wash Hands

H.I.V test

  • A H.I.V test should be offered if one has this condition.

Vaccination

  • Please have all recommended childhood vaccinations.
  • MenACWY Vaccine: Protects against four bacterial strains (A, C, W, and Y).
  • MenB Vaccine (Bexsero): Protects against meningococcal group B bacteria, a leading cause of bacterial meningitis.

This condition may show similar symptoms to:

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: Meningitis (Adults/Children) in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).

  • Medical News Today

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  • Medscape (Professional level)

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  • Pharmaceutical Journal (Professional level)

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  • NHS

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  • WebMD

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  • Cleveland Clinic

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  • Mayo Clinic

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  • Drugs.com

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  • National Organisation of Rare Diseases

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  • Verywell Health

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  • Nathnac

    Travel health guidance for health professionals advising travellers and for travellers going overseas from the UK.

  • DR Axe

    Health and fitness news. Recipes, Natural Remedies

  • Better health - NHS

    Healthy changes start with little changes. Whether you want to lose weight, drink less alcohol, get active or quit smoking, you have access to lots of free tools and support through Better Health. You can also find simple ways to lift your mood with Every Mind Matters.

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