Viral meningitis

Medium urgency
CommonModerately severe

Meningitis is the inflammation of the meninges (fine layers of tissue that surround and protect the brain and the spinal cord) due to a viral infection.

Factors that increase the risk of suffering from it include extremes of age at both ends of life, a deficient immune system, alcoholism, overcrowded living conditions, and people with a dysfunctional or missing spleen.

It typically manifests with fever, headache, altered mental state, abnormal intolerance to light (photophobia) and stiffness of the neck muscles. Other symptoms include nausea and vomiting, skin lesions (purple rash), drowsiness, confusion, convulsions, irritability, etc.

It is diagnosed by means of clinical history and a physical examination, which will look for stiffness in the neck and it should be confirmed by means of additional tests such as laboratory tests, tests of cerebrospinal fluid obtained by lumbar puncture, CT-scan, MRI, etc.

Hospital admission is required to control its course in cases where symptoms affect the general state of the patient. Treatment is usually based on the control of the symptoms.

Bibliographic references
  1. R Paul Johnson, Aseptic meningitis in adults. UpToDate Sep 28, 2012.
  2. Kupila L, Vuorinen T, Vainionpää R, et al. Etiology of aseptic meningitis and encephalitis in an adult population. Neurology 2006; 66:75.
  3. Shalabi M, Whitley RJ. Recurrent benign lymphocytic meningitis. Clin Infect Dis 2006; 43:1194.
  4. Spanos A, Harrell FE Jr, Durack DT. Differential diagnosis of acute meningitis. An analysis of the predictive value of initial observations. JAMA 1989; 262:2700.
  5. Kareb L. Roos, Kenneth L. Tyler. Meningitis Viral Aguda, en Meningitis, encefalitis, absceso cerebral y empiema. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición. 890:893
  6. J. García San Miguel. Meningitis. Farreras Rozman. Medicina Interna. Volumen 2. 12º edición. p1385.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Bothered by light


    Neck stiffness


    Coma


    Sudden headache


    Muscle stiffness due to a contraction

Pre-hospital care recommendations

Consume over-the-counter pain relievers or anti-inflammatories.
Consume antiemetics if vomits are present.
Remain calm.