2. General
Inflammation of meninges (membranes surrounding the
skull and spinal cord)
Acute bacteria meningitis most commonly caused by
bacteria entering bloodstream
Bacteria can directly enter meninges from ear/sinus
infection or skull fracture
Acute bacteria meningitis infections extremely serious
May result in death or brain damage even if treated
Medical emergency
3. Types of Bacterial Meningitis
Pneumococcal – most common type in US for infants
children and adults. Caused by bacteria streptococcus
pneumoniae which more commonly causes
pneumonia, ear infections, or sinus infections
Meningococcal - another leading cause of bacterial
meningitis. Caused when upper respiratory infections
enter bloodstream and is highly contagious. Effects
mostly teenagers/young adults especially in dorms
boarding schools military bases. Caused by bacteria
neisseriameningitidis.
4. Types of Bacterial Meningitis
Haemophilus Influenza type b (Hib) - leading cause of
bacterial meningitis before 1990s in children. New
vaccines make it less common. Caused by bacteria
haemaphilusinfluenzae. Meningitis generally comes
after upper respiratory infection, ear infection, or
sinusitis.
Listeriosis – caused by bacteria listeriamonocytogenes
which are found almost everywhere. In soft cheese,
hot dogs, and luncheon meats; many animals carry
bacteria. Most healthy people don’t get infected from
this. More susceptible to pregnant women, newborns,
and older adults. People most vulnerable when have
weakened immune system.
5. Symptoms
Symptoms of meningitis similar to symptoms of flu
Symptoms start over several hours or over 1/2 days
Symptoms for people over the age of 2 include:
High fever
Severe headache (not easily confused with other type of headache)
Stiff neck
Vomiting/nausea with headache
Confusion/ difficulty concentrating (if very young appear as inability to
maintain eye contact)
Seizures
Sleepiness/difficulty waking up
Sensitivity to light
Lack of interest in drinking and eating
Skin rash (in meningococcal)
6. Symptoms
Symptoms in newborns
High fever
Constant crying
Excessive sleepiness or irritability
Inactivity or sluggishness
Poor feeding
Fontanel (bulge in soft spot on baby’s head)
Stiffness in body or neck
Seizures
Difficult to comfort
7. Risk Factors
Not completing childhood vaccines
Median age of diagnosis 25 years
Living in close quarters (meningococcal)
Pregnancy (listeriosis)
Working with animals (listeriosis)
Compromised immune system (from Aids, spleen removal,
diabetes, use of immunosuppressant drugs)
8. Treatment
Intravenous antibiotics
Cortisone like medications (more recent)
Doctor may also treat for
Brain swelling
Shock
Convulsions
Dehydration
Surgery (to drain fluid between the skull and meninges or
infections)
9. Prevention
Wash your hands
Stay healthy
Cover your mouth
Take care with food if you are pregnant
Immunizations