Meningococcal meningitis

High urgency
-Moderately severe

Bacterial infection of the membranes surrounding the brain and spinal cord.

The bacterium is spread by droplets of respiratory secretions that are expelled when you cough or sneeze. Contact with saliva when kissing or sharing crockery can also spread the disease.

The most common symptoms are: stiff neck, fever, headache, confusion, nausea and/or vomiting, sensitivity to light, irritability or rapid breathing.

The diagnosis is made by clinical interview, physical examination and a lumbar puncture to collect and analyse cerebrospinal fluid. Additional tests may be needed: blood tests, cultures, chest x-ray and/or brain CT scan.

If this condition is suspected, the person should be isolated (respiratory isolation) to prevent infection. The condition is treated with intravenous antibiotics, to which corticosteroids may be added.

If you have been in contact with an infected person, you may need preventive antibiotic treatment. Infection can be prevented by vaccination at an early age.

If you have or suspect you have any of these symptoms, go to the nearest emergency department for assessment.

Bibliographic references
  1. J. García. Meningitis. Meningitis bacterianas. Farreras Rozman. Medicina Interna. Volumen II. Duodécima edición. 1380:1384.
  2. D. H. Lowenstein, J. B. Martin, S. L. Hauser. Diagnóstico de enfermedades neurológicas. Abordaje del paciente con enfermedad neurológica. Harrison. Principios de Medicina Interna. Volumen II. Decimonovena edición. 2535:2541.
  3. MedlinePlus. Rockville. 2017. Meningitis meningocócica; [citado el 25 de julio de 2017]. Disponible en: https://medlineplus.gov/spanish/ency/article/000608.htm
  4. UpToDate [Internet]. Waltham. 2017. Clinical manifestations of meningococcal infection; [citado el 25 de julio de 2017]. Disponible en: http://www.uptodate.com/contents/clinical-manifestations-of-meningococcal-infection?source=search_result&search=meningitis+meningococidca&selectedTitle=2~37
  5. UpToDate [Internet]. Waltham. 2017. Treatment and prevention of meningococcal infection; [citado el 25 de julio de 2017]. Disponible en: http://www.uptodate.com/contents/treatment-and-prevention-of-meningococcal-infection?source=search_result&search=meningitis+meningococidca&selectedTitle=1~37
Copyright
© TeckelMedical 2026

Symptoms

    Red spotting on the skin - petechiae


    Neck stiffness


    Sudden headache


    Widespread muscle aches


    Fever / Feel very hot

Pre-hospital care recommendations

Consume over-the-counter pain relievers or anti-inflammatories.
Consume antiemetics if vomits are present.
Remain calm.
If there are seizures it is important for the person not to hit their head. Turn them onto their side and don't introduce any objects or hands in their mouth.