Meningitis

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Written by Hu Bai Yu
Pulmonology
58sec home-news-image

Does meningitis cause fever?

Generally, patients with meningitis exhibit symptoms of fever, along with headaches, nausea, vomiting, or some cognitive impairments and confusion. It is advised that everyone should be cautious and distinguish the symptoms of meningitis from those of common colds, and perhaps visit the department of neurology at a hospital for proper diagnosis and targeted treatment. Under the circumstance of meningitis, it is crucial to follow the doctor's guidance and actively cooperate with the treatment. Typically, a regimen involving anti-infection and antiviral medications is necessary for about two to three weeks, and most patients have a favorable prognosis. Additionally, it is important to maintain a relaxed mood, avoid excessive stress, and drink adequate water to promote excretion.

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Written by Liu Shi Xiang
Neurology
1min 23sec home-news-image

What are the symptoms of meningitis?

The symptoms of meningitis mainly include headache, nausea, vomiting, fever, epileptic seizures, and mental abnormalities. Severe cases may also present with disturbances in consciousness and signs of meningeal irritation, among others. Therefore, when a patient exhibits the above symptoms, the possibility of meningitis should be considered. The patient needs to promptly visit the neurology department to undergo a cranial CT scan, cranial MRI, electroencephalogram, and lumbar puncture for cerebrospinal fluid analysis to confirm the diagnosis. Treatment should be based on the test results, selecting appropriate anti-infective medications. For example, patients with viral meningitis should be treated with antiviral medications such as acyclovir and ganciclovir; patients with bacterial meningitis should be treated with potent antibacterial drugs, including carbapenems and quinolones; patients with tuberculous meningitis should receive antitubercular drugs, such as isoniazid, rifampin, and ethambutol. In addition, patients may also need symptomatic treatments such as dehydration to reduce intracranial pressure, fever reduction, and control of psychiatric symptoms. (Medication should be used under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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Early symptoms of meningitis

Meningitis is primarily a clinical display caused by various factors leading to inflammatory lesions and inflammatory exudation in the meninges. It can be triggered by viral infections, as well as bacterial, tuberculous, or fungal infections. Different pathogens can lead to different symptoms. The initial symptoms of meningitis mainly include the following aspects: First, patients generally experience significant fever, which can range from mild to high and persistent, closely related to the specific pathogen involved. Second, patients will have obvious headaches, as the meninges are irritated, and pain is certain. Third, it usually leads to symptoms of increased intracranial pressure such as nausea and vomiting. Fourth, patients may also experience discomfort and pain in the neck, and upon examination, positive signs of meningeal irritation can be observed.

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Written by Zhang Hui
Neurology
1min 22sec home-news-image

Differentiation between purulent meningitis and viral meningitis

Purulent meningitis and viral meningitis are different diseases. Purulent meningitis is caused by bacterial infection of the meninges. Viral meningitis is caused by viral invasion of the meninges. Generally, purulent meningitis is more severe, and patients may exhibit symptoms of systemic toxin poisoning, such as high fever, nausea, vomiting, sickly appearance, and general weakness. The symptoms of viral meningitis are relatively mild, and the fever is not particularly severe. Another important differentiation is based on the analysis of cerebrospinal fluid. In viral meningitis, the lumbar puncture shows that the white blood cell count is below 1000*10^6/L, and the levels of sugar and chloride are generally normal or slightly low, with protein usually mildly elevated. In purulent meningitis, the cerebrospinal fluid shows a significant increase in white blood cell count, even reaching from 1000*10^6/L to 10000*10^6/L; the protein content is significantly increased, the sugar content is markedly decreased, and chloride levels are reduced. Additionally, bacteria can be found in the cerebrospinal fluid and blood cultures in purulent meningitis, whereas viral meningitis cerebrospinal fluid cultures do not show bacteria.

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Written by Han Shun Li
Pulmonology
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Is meningitis severe?

Meningitis is an infectious inflammation that occurs in the meninges and the brain and spinal meninges, and some may also involve the brain parenchyma. Meningitis is generally a serious disease, and if not treated promptly, it can develop into cerebral edema and severe cases may lead to brain herniation, respiratory and circulatory failure, endangering life. Some patients may even experience a decline in intelligence, paralysis, and other sequelae after recovery, severely affecting the quality of life. Therefore, it is important to actively treat meningitis once contracted.

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Written by Han Shun Li
Pulmonology
42sec home-news-image

Is meningitis serious?

Meningitis is a common infectious disease of the central nervous system. Patients with meningitis often experience symptoms such as fever, headache, nausea, vomiting, and neck stiffness. As the disease progresses, they may also experience seizures, motor disorders, disturbed consciousness, coma, and other conditions, with severe cases posing a risk to life. Many patients can still have sequelae after recovery, such as speech impairments, hemiplegia, and decreased intelligence. Therefore, meningitis is a very serious disease, and patients should actively cooperate with doctors for treatment after becoming ill.

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Written by Bian Jun Li
Neurology
56sec home-news-image

Is meningitis scary?

Meningitis is a relatively common infectious disease of the central nervous system in clinical practice. The common types of meningitis seen clinically include viral meningitis, tuberculous meningitis, and purulent meningitis. The main clinical symptoms of meningitis include headache, nausea, vomiting, fever, and signs of meningeal irritation; some may present with focal neurological deficits in symptoms and signs. If meningitis is not treated promptly or the treatment is ineffective, it often leads to significant sequelae, and can even endanger the patient's life. Therefore, meningitis is considered a serious disease of the central nervous system. If diagnosed with meningitis, timely treatment is essential, underscoring the seriousness of the disease.

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Written by Han Shun Li
Pulmonology
39sec home-news-image

Does meningitis cause headaches?

Meningitis is an inflammation of the meninges caused by pathogenic microorganisms, such as bacteria, tuberculosis bacteria, viruses, fungi, etc., which can all cause meningitis. Common symptoms of meningitis include fever, headache, nausea, vomiting, etc., thus patients with meningitis do experience headaches. Moreover, headache is one of the most common symptoms in patients with meningitis. Often, patients suffering from headaches will experience symptoms of nausea and vomiting, which is frequently projectile, and in many cases, the headache can be alleviated after vomiting.

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Written by Li Jian Wu
Pulmonology
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How to test for meningitis?

The main methods for meningitis examination are lumbar puncture and cerebrospinal fluid testing. Cerebrospinal fluid examination may show increased pressure, turbid appearance, and purulent changes, containing a large number of white blood cells and neutrophils. Routine blood tests may also show a white blood cell count significantly higher than normal, predominantly composed of immature neutrophils. Additionally, it is possible to check electrolytes and use auxiliary diagnostic tools such as X-rays, CT scans, and MRI to confirm the diagnosis, facilitating early detection and treatment.

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Written by Han Shun Li
Pulmonology
37sec home-news-image

Is meningitis scary?

Is meningitis a frightening disease? Meningitis can be very frightening if the condition progresses quickly, or if it is not diagnosed and treated in a timely manner. In severe cases, it can be life-threatening. Many patients often suffer from after-effects following recovery, such as decreased intelligence, dementia, aphasia, paralysis, etc., significantly impacting the quality of life. Therefore, meningitis is a quite frightening disease, and patients should actively cooperate with doctors for treatment to save lives and minimize or reduce the occurrence of after-effects.