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Bacterial Meningitis

WHAT YOU SHOULD KNOW

Bacterial (back-TEER-e-ul) meningitis (men-in-JIE-tis) is an infection that causes swelling and irritation of the tissue around the brain and spinal cord. Although it can be a very serious disease, with treatment, it will probably clear up in 2 to 3 weeks.

Causes

The bacteria that cause this disease spread to the brain from other parts of the body. The most common causes are the Neisserria meningitidis, pneumococcus, and Haemophilus influenzae bacteria. These bacteria can pass from one person to another.

Signs/Symptoms

Symptoms include fever, chills, sweating, headache, stiff neck, vomiting, red or purple skin rash, confusion, irritability, or tiredness. In addition, your eyes may be bothered by light.

Care

Antibiotic medicine will be prescribed to treat your infection. You may be put in the hospital for tests and care. After 2 to 3 weeks, you may return to normal activity.

Risks

Without treatment, this disease can be fatal--and if you don't get treatment soon enough, you may end up with brain damage (hearing loss, learning problems, difficulty talking, seizures, or paralysis).

WHAT YOU SHOULD DO

  • Take antibiotics exactly as directed until they are all gone. Finish the prescription even if you feel well.
  • If any of your medicines make you drowsy, do not drive.
  • Stay away from others until your doctor says you can no longer spread your illness.
  • Although no special diet is needed, you should drink about 6 to 8 glasses (soda-can sized) of water a day, even if you don't feel like it. Do not drink alcohol.
  • Eat healthy foods and get lots of rest.
  • To ease headaches, rest in a dark, quiet room.
  • Wash your hands each time you go to the bathroom and before eating to keep from spreading germs.
  • As soon as you feel better, you may resume your normal activities.
  • Get shots to prevent the flu and pneumonia.

Call Your Doctor If...

  • You have new symptoms (such as a rash, itching, swelling, or trouble breathing) that started when you began taking medicine. You may be allergic to the medicine.
  • You have a high temperature while you are taking medicine.

Seek Care Immediately If...

  • Someone in your family develops a severe headache, stiff neck, fever, and changes in vision. They may have picked up the disease from you.
  • You or someone in your family becomes confused or difficult to wake up, or has a high temperature.
  • You or someone in your family has seizures.

IF YOU'RE HEADING FOR THE HOSPITAL...

What to Expect While You're There

You may encounter the following procedures and equipment during your stay.
  • Activity: You will be required to stay in bed in a darkened room. You may not be allowed to have certain visitors if the doctors think they could catch your infection.
  • Isolation: To keep from spreading the infection, you will be kept away from others. Nurses and others around you will wear face masks and gowns to keep from getting the disease.
  • Neuro Signs: The doctor will check your eyes and memory, and see how easily you awaken. These are important signs that tell how well the brain is responding to the infection.
  • Lumbar Puncture: Also called spinal tap. Fluid is taken from your spine and sent for tests.
  • Body Fluid Cultures: Blood, urine, throat, and nose fluids may be tested. This will help the doctor decide which antibiotic will be the best treatment.
  • Taking Vital Signs: These include your temperature, blood pressure, pulse (counting your heartbeats), and respirations (counting your breaths). A stethoscope is used to listen to your heart and lungs. Your blood pressure is taken by wrapping a cuff around your arm.
  • Pulse Oximeter: While you are getting oxygen, you may be hooked up to a pulse oximeter (ox-IM-ih-ter). It is placed on your ear, finger, or toe and is connected to a machine that measures the oxygen in your blood.
  • Blood: Usually taken from a vein in your hand or from the bend in your elbow. Tests will be done on the blood.
  • Blood Gases: Blood is taken from an artery in your wrist, elbow, or groin. It is tested to see how much oxygen it contains.
  • Chest X-ray: This picture of your lungs and heart shows how well they are handling the illness.
  • CT Scan: Also called a ""CAT'' scan, this is an x-ray using a computer. It will be used to take pictures of your brain and check the progress of the infection.
  • IV: A tube placed in your vein for giving medicine or liquids. It will be capped or have tubing connected to it.
  • ECG: Also called a heart monitor, an electrocardiograph (e-LEK-tro-CAR-dee-o-graf), or EKG. The patches on your chest are hooked up to a TV-type screen or a small portable box (telemetry unit). This screen shows a tracing of each heartbeat.
  • Medicines:
    • Antibiotics will be prescribed to fight the infection. They may be given by IV, in a shot, or by mouth.
    • Pain medicine may be given in your IV, as a shot, or by mouth. If the pain does not go away or comes back, tell a doctor right away.
    • Fever medicine , usually acetaminophen, will be given to bring down your fever. It may be given by mouth or in your rectum.
    • Anti-nausea medicine may be given to get rid of your nausea and control your vomiting so you don't lose too much body fluid (become dehydrated).

After You Leave

Follow the guidelines listed under ""What You Should Do.''
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