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Viral (Aseptic) Meningitis
What is meningitis?
Meningitis is an illness in which there is inflammation of the tissues
that cover the brain and spinal cord. Viral or aseptic meningitis,
which is the most common type, is caused by an infection with one of
several types of viruses. Meningitis can also be caused by
infections with several types of bacteria or fungi.
What are the symptoms of meningitis?
The symptoms of meningitis may not be the same for every person.
The more common symptoms are fever, severe headache, stiff neck, bright
lights hurt the eyes, drowsiness or confusion, and nausea and vomiting. In
babies, the symptoms are more difficult to identify. They may
include fever, fretfulness or irritability, difficulty in awakening the
baby, or the baby refuses to eat.
Is viral meningitis a serious disease?
Viral (aseptic) meningitis is serious but rarely fatal in persons with
normal immune systems. Usually, the symptoms last from 7 to 10 days
and the person recovers completely. Bacterial meningitis, on the
other hand, can be very serious and result in disability or death if not
treated promptly. Often, the symptoms of viral meningitis and
bacterial meningitis are the same. For this reason, if you think you
or your child has meningitis, see your doctor as soon as possible.
What causes viral meningitis?
Many different viruses can cause meningitis. About 90% of cases
of viral meningitis are caused by members of a group of viruses known as
enteroviruses, such as coxsackieviruses and echoviruses.
Herpesviruses and the mumps virus can also cause viral meningitis.
How is viral meningitis diagnosed?
Viral meningitis is usually diagnosed by laboratory tests of spinal
fluid obtained with a spinal tap. It can also be diagnosed by tests
that identify the virus in specimens collected from the patient, but these
tests are not usually done.
How is viral meningitis treated?
No specific treatment for viral meningitis exists at this time.
Most patients recover completely on their own, and doctors often will
recommend bed rest, plenty of fluids, and medicine to relieve fever and
headache.
Can I get viral meningitis if Im around someone who has it?
The viruses that cause viral meningitis are contagious.
Enteroviruses, for example, are very common during the summer and early
fall, and many people are exposed to them. However, most infected
persons either have no symptoms or develop only a cold or rash with low-grade
fever. Typically, fewer than 1 of every 1000 persons infected
actually develop meningitis. Therefore, if you are around someone
who has viral meningitis, you have a moderate chance of becoming infected,
but a very small chance of developing meningitis.
How is the virus spread?
Enteroviruses, the most common y effective way to inactivate the virus.
For further information, please contact the Respiratory and Enteric
Viruses Branch, National Center for Infectious Diseases, at 404-639-3607
(telephone) or 404-639-4960 (facsimile).
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