Meningitis

What is Meningitis?

Meningitis is an inflammation of the protective membranes (meninges) covering the brain and spinal cord. It is most commonly caused by infections, but can also result from other factors such as autoimmune diseases or certain medications. Meningitis can be life-threatening and requires immediate medical attention.

Types of Meningitis

1. Bacterial Meningitis

• Most serious form and can be life-threatening if not treated promptly.
• Common causes: Neisseria meningitidis, Streptococcus pneumoniae, and Haemophilus influenzae type B.
• Requires immediate treatment with antibiotics and sometimes corticosteroids.

2. Viral Meningitis

• More common but typically less severe than bacterial meningitis.
• Common causes: Enteroviruses, herpes simplex virus, and mumps virus.
• Treatment: Supportive care, as it often resolves on its own.

3. Fungal Meningitis

• Rare and typically affects people with weakened immune systems.
• Common cause: Cryptococcus species.
• Treatment: Antifungal medications.

4. Parasitic and Non-Infectious Meningitis

• Parasitic meningitis: Caused by parasites and is rare.
• Non-infectious meningitis: Can result from autoimmune diseases, cancer, or medications.

Common Symptoms of Meningitis

Symptoms can develop suddenly and may include:

• Severe headache
• Stiff neck
• High fever
• Nausea and vomiting
• Confusion or altered mental state
• Sensitivity to light (photophobia)
• Seizures
• Skin rash (more common in meningococcal meningitis)

Causes and Risk Factors

• Bacteria and viruses: Most common causes include meningococcal, pneumococcal, and viral infections.
• Weakened immune system: Increases the risk of fungal and other opportunistic infections.
• Close contact and outbreaks: Spread in places with close contact such as schools, dormitories, or military barracks.
• Age: Infants and young children are at higher risk, as well as adults over 60.

Diagnosis

• Medical history and physical examination: To check for classic signs like neck stiffness and fever.
• Blood cultures: To detect and identify bacteria in the blood.
• Imaging tests: CT scan or MRI to check for brain swelling or complications.
• Lumbar puncture (spinal tap): The most definitive test for diagnosing meningitis, used to analyze cerebrospinal fluid (CSF).

Treatment Options

• Bacterial Meningitis:
  • Antibiotics: Given intravenously to fight the infection.
  • Corticosteroids: To reduce brain swelling and prevent complications.
• Viral Meningitis:
  • Supportive care: Rest, hydration, and pain relievers.
  • Antiviral medications: For cases caused by herpes simplex or other treatable viruses.
• Fungal Meningitis:
  • Antifungal drugs: Such as amphotericin B and flucytosine.
• Non-infectious Meningitis:
  • Treatment of underlying cause: Involves managing the condition causing inflammation (e.g., autoimmune disease).

Prevention Strategies

• Vaccination:
  • Meningococcal vaccine: Protects against certain types of bacterial meningitis.
  • Pneumococcal vaccine: Recommended for infants and older adults to prevent pneumonia and meningitis.
  • Haemophilus influenzae type B (Hib) vaccine: Prevents meningitis in children.
• Good hygiene practices: Washing hands and avoiding sharing utensils or drinks.
• Close contacts: Preventative antibiotics may be given to those in close contact with a person diagnosed with bacterial meningitis.

Complications of Meningitis

• Hearing loss: Permanent damage to hearing may occur.
• Brain damage: Can result from increased pressure in the brain or severe infection.
• Seizures
• Kidney failure
• Shock: Severe cases may lead to septic shock, especially in bacterial meningitis.
• Death: Meningitis can be fatal if not treated promptly, especially bacterial forms.