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MENINGITIS, BACTERIAL(Spinal Meningitis)

MENINGITIS, BACTERIAL
(Spinal Meningitis)

DESCRIPTION

Bacterial meningitis is a bacterial infection or inflammation of the meninges (thin membranes that cover the brain and spinal cord). The central nervous system--including the brain, the coverings to the brain (meninges), and the spinal cord -- and peripheral nerves are involved. Bacterial meningitis can affect all ages but is more severe in children under age 2.
Appropriate health care includes:
  • Physician's monitoring of general condition and medications.
  • Hospitalization.
  • Self-care after hospitalization.

    SIGNS & SYMPTOMS

  • Fever, chills, and sweating (may be absent in acritically ill child).
  • Headache.
  • Irritability.
  • Eyes sensitive to light; pupils may be different sizes.
  • Stiff neck.
  • Vomiting.
  • Red or purple skin rash.
  • Confusion, lethargy, drowsiness, or unconsciousness.
  • Sore throat or other signs of respiratory illness may precede other symptoms.

    CAUSES
    Infection caused by bacteria, from the following sources:

  • Infection in another body part, such as the lung, ear, or sinus, that spreads to the meninges.
  • Head injury, such as a fractured skull, that allows infection to enter.

    RISK FACTORS

  • Infancy.
  • Illness that has lowered resistance.
  • Poor nutrition.
  • Use of drugs that decrease the body's immune responses, such as anti-cancer drugs.

    PREVENTING COMPLICATIONS OR RECURRENCE

  • Consult your doctor for treatment of any infection in your child's body to prevent its spread.
  • Urge your child to avoid contact with anyone who has meningitis. Those who have had close contact with a person with meningitis may need preventive antibiotic treatment even if they have no symptoms.

    BASIC INFORMATION

    MEDICAL TESTS

  • Your own observation of symptoms.
  • Medical history and physical exam by a doctor.
  • Laboratory studies, such as blood-sugar tests and cultures of the throat, blood, nose, or other infection sites.
  • Lumbar puncture (See Glossary).

    POSSIBLE COMPLICATIONS

    Death or permanent brain damage--including paralysis, hearing loss, speech difficulty, and intellectual impairment -- if not treated quickly.

    PROBABLE OUTCOME
    Full recovery is likely in 2 to 3 weeks with treatment, if no complications arise.

    TREATMENT

    HOME CARE

    Restrict your child's visitors until the doctor determines the disease is no longer contagious.

    MEDICATION

  • Your doctor may prescribe antibiotics, depending on what bacteria is causing the child's meningitis.
  • See Medications section for information regarding medicines your doctor may prescribe.

    ACTIVITY
    While in the hospital, your child will need bed rest in a darkened room. After a 2- to 3-week recovery, the child should be as active as strength allows.

    DIET & FLUIDS
    Your child may be given intravenous nutrients in the hospital. At home, serve the child a normal, well-balanced diet. Vitamin and mineral supplements should not be necessary unless your child has a deficiency or cannot eat normally.

    OK TO GO TO SCHOOL?

    When signs of infection have decreased, appetite returns, and alertness, strength, and feeling of well-being will allow.

    CALL YOUR DOCTOR IF

  • Your child has symptoms of bacterial meningitis.
  • Temperature rises to 101F (38.3C) or higher during treatment.
  • New, unexplained symptoms develop. Drugs used in treatment may produce side effects.
  • Your child has had contact with someone who has meningitis. ‡
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