Meningococcal meningitis

Definition

Meningitis is an infection of the membranes covering the brain and spinal cord. This covering is called the meninges.

Bacteria are one type of germ that can cause meningitis. The meningococcal bacteria is one kind of bacteria that causes meningitis.

Causes

Meningococcal meningitis is caused by the bacteria Neisseria meningitidis (also known as meningococcus).

Meningococcus is the most common cause of bacterial meningitis in children and teens. It is a leading cause of bacterial meningitis in adults.

The infection occurs more often in winter or spring. It may cause local epidemics at boarding schools, college dormitories, or military bases.

Risk factors include recent exposure to someone with meningococcal meningitis and a recent upper respiratory infection.

Symptoms

Symptoms usually come on quickly, and may include:

Other symptoms that can occur with this disease:

Exams and Tests

The health care provider will perform a physical exam. Questions will focus on symptoms and possible exposure to someone who might have the same symptoms, such as a stiff neck and fever.

If the provider thinks meningitis is possible, a lumbar puncture (spinal tap) will likely be done to remove a sample of spinal fluid for testing.

Other tests that may be done include:

Treatment

Antibiotics will be started as soon as possible.

Sometimes, corticosteroids are given to children.

People in close contact with someone who has meningococcal meningitis should be given antibiotics to prevent infection.

Such people include:

Outlook (Prognosis)

Early treatment improves the outcome. Death is possible. Young children and adults over age 50 have the highest risk of death.

Possible Complications

Long-term complications may include:

When to Contact a Medical Professional

Call the local emergency number (such as 911) or go to an emergency room if you suspect meningitis in a young child who has the following symptoms:

Call the local emergency number if you develop any of the serious symptoms listed above. Meningitis can quickly become a life-threatening illness.

Prevention

Close contacts in the same household, school, or day care center should be watched for early signs of the disease as soon as the first person is diagnosed. All family and close contacts of this person should begin antibiotic treatment as soon as possible to prevent spread of the infection. Ask your provider about this during the first visit.

Always use good hygiene habits, such as washing hands before and after changing a diaper or after using the bathroom.

Vaccines for meningococcus are effective for controlling spread. They are currently recommended for:

Although rare, people who have been vaccinated can still develop the infection.


Review Date: 9/22/2018
Reviewed By: Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School; Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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