About
Meningitis is a serious and potentially life-threatening infection that affects the protective membranes that surround the brain and the spinal cord. It is most commonly caused by a bacterial or viral infection, and can spread through contact with saliva and nasal secretions. Symptoms can range from fever, nausea and vomiting, to severe headaches, stiff neck and rash. Medical attention should be sought if any of these symptoms are present. Treatment for meningitis generally consists of antibiotics, antivirals, or corticosteroids, depending on the type of infection. Vaccines are available to help prevent some types of meningitis.
Symptoms
The symptoms of meningitis can be very varied and depend on the age of the person, the underlying cause, and the severity of the infection. Common symptoms include fever, severe headache, stiff neck, rash, confusion, nausea, and vomiting. Other symptoms that may be present include drowsiness, sensitivity to light, seizures, and an inability to wake up from sleep. In infants and young children, additional symptoms may include irritability, vomiting, lack of appetite, refusal to eat or drink, and a soft spot on the head that can be felt with the fingers.
Causes
Meningitis is an inflammation of the thin linings surrounding the brain and spinal cord. It can be caused by a variety of different agents such as bacteria, viruses, fungi, and parasites. Bacterial meningitis is the most serious type of meningitis and can be deadly if left untreated. Common causes of bacterial meningitis include Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenzae. Viral meningitis is usually less severe than bacterial meningitis and can be caused by a number of different viruses, including the mumps virus, herpes simplex virus, enteroviruses, and the varicella-zoster virus. Fungal meningitis is rare and is usually caused by a fungus called Cryptococcus neoformans. Parasitic meningitis is rare and can be caused by amoeba or Giardia lamblia.
Risk factors
The following are some of the risk factors for Meningitis:
- Age: Infants, young children, and older adults are at a higher risk of developing meningitis.
- Health Conditions: People with weakened immune systems or certain medical conditions, such as HIV or Diabetes, are more likely to develop meningitis.
- Exposure to Infection: People who come into contact with someone with meningitis, or who live in crowded or unhygienic conditions, are more likely to develop meningitis.
- Recent Surgery: People who have recently undergone surgery are also at risk of developing meningitis due to the increased risk of infection.
- Medical Procedures: Certain medical procedures, such as a spinal tap, may increase the risk of meningitis.
- Lifestyle Choices: Dangerous lifestyle choices, such as smoking or excessive alcohol consumption, can increase the risk of meningitis.
Diagnosis
Meningitis can be diagnosed through a physical examination and a number of tests, including a lumbar puncture, a blood test, and a CT scan. During a lumbar puncture, a sample of cerebrospinal fluid (CSF) is taken from around the spinal cord and tested for evidence of infection. A blood test can help to identify the type of microorganism causing the meningitis. A CT scan or MRI can show signs of swelling and inflammation in the brain or spinal cord. In some cases, an ultrasound may be used to detect fluid buildup in the brain.
Sub-types
Meningitis is an inflammation of the tissue surrounding the brain and spinal cord, known as the meninges. It can be caused by various infections and viruses. There are several subtypes of meningitis, which can be categorized according to the cause of the infection.
- Bacterial: This type of meningitis is caused by certain species of bacteria, and is the most serious and dangerous form. Symptoms of bacterial meningitis are severe and can include high fever, headache, stiff neck, nausea, confusion, and rapid breathing. It can be treated with antibiotics, but untreated cases can be life-threatening.
- Viral: This type of meningitis is usually caused by enteroviruses, mumps virus, or herpes simplex virus, and is usually less severe than bacterial meningitis. Symptoms may include fever, headache, muscle aches, and fatigue. The infection usually clears up on its own, though antiviral medications may be prescribed for severe cases.
- Fungal: This type of meningitis is caused by the fungus Cryptococcus neoformans and is rare, occurring only in people with weakened immune systems. It can cause fever, confusion, and headache, and may be life-threatening if left untreated. Treatment includes antifungal medications.
- Parasitic: This type of meningitis is caused by certain parasites, and is rare. Symptoms may include headache, fever, neck stiffness, and confusion. Treatment is with antiparasitic medications.
- Non-infectious: This type of meningitis is not caused by an infective agent, and is usually due to a reaction to certain drugs or medical treatments, such as chemotherapy or radiation. Symptoms may include fever, headache, nausea, and confusion. Treatment involves stopping the medication that is causing the reaction.
Treatments
Common treatments for meningitis include antibiotics, antiviral drugs, and corticosteroids. Antibiotics are used to treat bacterial meningitis, while antiviral drugs are used to treat viral meningitis. Corticosteroids can be used to reduce inflammation in the brain and spinal cord. Depending on the cause of the meningitis, additional treatment may include seizure medications, breathing support, and fluids. In some cases, surgery may be necessary to drain an abscess or repair damage caused by meningitis.
Prevention
One of the most important things that can be done to reduce the risk of meningitis is to ensure that individuals and their families are vaccinated against the disease in order to provide protection from the majority of the types and strains of meningitis. It is also important to practice proper hygiene, such as washing hands often and avoiding close contact with those who are sick. Additionally, sleeping in a well-ventilated and cool room, abstaining from smoking, and avoiding excessive alcohol consumption are also beneficial in reducing the risk of meningitis.
Gender differences?
Yes, there are gender-specific differences in the presentation and management of Meningitis. In terms of presentation, women may be at greater risk of lower respiratory tract infection and seizures, while men may be at greater risk of presenting with stiff neck and headache. With regards to management, women may be more likely to receive a lumbar puncture to test for meningitis, while men may be more likely to be given antibiotics for treatment. Additionally, due to hormonal differences, women may also be more likely to experience post-meningitis hearing impairments than men.
Nutrition
Nutrition plays a critical role in the management of Meningitis. Proper nutrition is essential to support a healthy immune system, which is key in fighting off infection and keeping the body healthy. Eating a balanced diet that includes plenty of fruits, vegetables, lean proteins, and healthy fats can help provide the body with the essential vitamins, minerals, and antioxidants it needs to stay strong and fight off infection. Adequate hydration is also important in promoting the body’s natural healing process and preventing secondary complications, such as dehydration. Finally, nutrition can also help reduce inflammation, which is a common symptom of Meningitis. Eating an anti-inflammatory diet that is rich in omega-3 fatty acids, antioxidants, and polyphenols can help alleviate inflammation and improve overall health.
Physical Activity
Physical activity can have a positive effect on the immune system, which helps your body to fight off infections including meningitis. Regular aerobic exercise can help to reduce inflammation and boost the body’s natural defense against bacterial or viral invaders. Additionally, physical activity can help to boost circulation throughout the body, helping to ensure that the immune system is able to work effectively throughout the body. That being said, no amount of physical activity can prevent or cure meningitis—so it’s important to adhere to the suggested preventive measures for meningitis if you think you may be at risk.
Further Reading
- https://www.ncbi.nlm.nih.gov/books/NBK459360/
- https://bestpractice.bmj.com/topics/en-us/539/references
- https://www.cdc.gov/meningitis/index.html
- https://www.mayoclinic.org/diseases-conditions/meningitis/symptoms-causes/syc-20350508
- https://www.who.int/health-topics/meningitis
- https://www.uptodate.com/contents/meningitis-in-children-beyond-the-basics
- https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/meningitis