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Meningitis |
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What Is Meningitis?
Meningitis is an inflammation of the
meninges, the lining that protects the brain and spinal cord.
It is almost always caused by an infection, usually by a bacteria
(bacterial meningitis) or a virus (viral meningitis). In rare
cases it can be triggered by a fungus or parasite.
Meningitis occurs most commonly in young children under 5, those
aged 17-25 (who often live in close quarters like dormitories and
barracks), and people over age 55. People with compromised immune
systems, such as people with HIV or AIDS, are also at increased
risk.
How Is Meningitis Treated?
Doctors isolate patients with possible meningitis and immediately
start them on intravenous antibiotics before they determine
whether it's bacterial or viral meningitis.
If the diagnosis turns out to be viral meningitis, the antibiotic
treatment is stopped, because antibiotics have no effect on the
viruses. In fact, there is no treatment for viral meningitis, the
illness must simply run its course.
Rest, fluids, and good nutrition, as well as measures to control
fever and relieve pain, will ease discomfort and aid in recovery
from viral meningitis.
Patients with bacterial meningitis receive intravenous antibiotics
for a week or more.
In more severe cases, a patient
needs medication to control seizures or must be put on a
ventilator to assist with breathing. If excessive pressure builds
up inside the skull, a small tube is sometimes inserted into the
meninges Three-layer lining that protects and cushions the brain
and spinal cord. to relieve the pressure.
Drugs such as dexamethasone ( a steroid, different from the
steroids abused by bodybuilders, that can reduce swelling of the
brain) are sometimes given to reduce inflammation or to reduce the
chance, or spread, of septicemia An infection in the bloodstream
that results from some cases of meningococcal meningitis. It is
characterized by a rash caused by broken blood vessels.. They are
usually only given in severe cases where the response to
antibiotics has been slow.
The usefulness of dexamethasone has been debated. Studies have
shown that children with H influenzae type B infection who were
given dexamethasone had fewer after-effects, such as hearing loss.
However, doctors are concerned that dexamethasone can make it
harder for antibiotics to reach the infection.
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