Meningitis, Bacterial

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KEY POINTS

• Meningitis is an infection of the tissues and fluid that surround the brain and spinal cord. When bacteria cause the infection, it is called bacterial meningitis.
• Treatment must start right away and you will stay in the hospital. You will be given antibiotics for 1 to 3 weeks.
• Ask your healthcare provider how long it will take to recover from this illness, when you can return to your normal activities, and how to take care of yourself at home.

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What is bacterial meningitis?

Meningitis is an infection of the tissues and fluid that surround the brain and spinal cord. When bacteria cause the infection, it is called bacterial meningitis. Meningitis is a serious, life-threatening illness. It is an emergency. If it is treated right away, chances of complete recovery are good. In some cases, it may cause severe problems, including brain damage or death.

Another name for this infection is spinal meningitis.

What is the cause?

Bacteria can spread to the brain and spinal cord:

• From a nearby infection, such as a bad sinus infection
• Through the bloodstream, for example from a severe kidney infection

Some forms of bacterial meningitis can be spread from person to person. If you have had close contact with someone who has meningitis, get medical care as soon as possible. Close contact includes living in the same house, going to the same day care center, or having close personal contact, such as you might have with a partner, boyfriend or girlfriend. The bacteria can be spread by coughing or kissing. If you have had close exposure to someone who has meningitis, you may need antibiotics to help keep you from getting the disease.

People who have the highest risk of getting this disease are:

• Older adults
• People living in close quarters, such as military personnel and students in dorms
• Babies and children less than 5 years old
• People with a medical condition that lowers their ability to fight infections, such as diabetes or HIV

What are the symptoms?

Bacterial meningitis can develop quickly or may develop over several days. Viral meningitis, which is usually a milder illness, can start with the same symptoms. The most common symptoms are sudden onset of fever, headache, and a stiff neck. Your neck may be so stiff that you can't touch your chin to your chest. If you have these symptoms, it is very important to get medical care right away.

Other symptoms may include:

• Sensitivity to light
• Nausea and vomiting
• Body aches
• Confusion

Later symptoms may include:

• Rash with red spots or blotches, or purple, bruiselike areas on the skin
• Seizures
• Severe confusion

In severe cases, it can cause coma and death.

How is it diagnosed?

Your healthcare provider will ask about your symptoms and medical history and examine you.

Tests may include:

• Lumbar puncture, also called a spinal tap, which uses a needle to get a sample of fluid from the area around the spinal cord
• Blood tests
• Urine tests
• CT scan, which uses X-rays and a computer to show detailed pictures of the brain
• MRI, which uses a strong magnetic field and radio waves to show detailed pictures of the brain

How is it treated?

Treatment must start right away and you will stay in the hospital. You will be given antibiotics for 1 to 3 weeks. You may need to keep taking antibiotics after going home from the hospital.

How can I take care of myself?

Follow the full course of treatment prescribed by your healthcare provider. In addition:

• If you are taking an antibiotic, take the medicine for as long as your healthcare provider prescribes, even if you feel better. If you stop taking the medicine too soon, you may not kill all of the bacteria and you may get sick again.

Ask your healthcare provider:

• How and when you will get your test results
• How long it will take to recover from this illness
• If there are activities you should avoid and when you can return to your normal activities
• How to take care of yourself at home
• What symptoms or problems you should watch for and what to do if you have them

Make sure you know when you should come back for a checkup. Keep all appointments for provider visits or tests.

How can I help prevent bacterial meningitis?

A shot of the meningococcal vaccine can prevent most forms of bacterial meningitis. This vaccine is recommended as a routine shot for children 11 to 12 years old with a booster at age 16 years. It is also recommended for the following groups if they have not yet had the shot:

• Teens in high school or about to start high school
• Students about to start college or living in college dorms
• Military recruits
• Travelers to areas where they might be exposed to bacteria that cause meningitis
• People who have a medical condition called terminal complement deficiency
• People who do not have a spleen

Other adolescents and college students, as well as people infected with human immunodeficiency virus (HIV/AIDS), may want to ask their provider about getting the meningitis shot.

To prevent the spread of bacterial meningitis to others if you are sick and after leaving the hospital:

• Wash your hands often with soap and running water and especially after using the restroom, coughing, sneezing, or blowing your nose. Also, wash your hands after touching pets and before eating or touching your eyes.
• Don’t go to work or school until your healthcare provider says it’s ok. Stay home. Avoid close contact with other people, including kissing and hugging. Ask your provider if other family members should take medicine or get shots to help keep the disease from spreading.
• Use paper cups, or separate cups, and paper towels in bathrooms instead of shared drinking cups and hand towels.
• Don’t share food and eating utensils with others.
• Take care of your health. Try to get at least 7 to 9 hours of sleep each night. Eat a healthy diet and try to keep a healthy weight. If you smoke, try to quit. If you want to drink alcohol, ask your healthcare provider how much is safe for you to drink. Learn ways to manage stress. Exercise according to your healthcare provider's instructions. Avoid close contact with people who are sick.