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From Lincoln Community Hospital Meningitis—When the Common Cold Becomes Scary Hello everyone. Hope you all are riding out cold and flu season this year with minimal suffering. I saw a commercial about meningitis on television recently and thought I would do an article about it. Meningitis is scary. It can start with a cold or the flu or a minor infection and can kill you. But is it common? Not really. Do you have to squeal your tires to the ER every time you get the sniffles? Probably not. But you should be aware of what the signs and symptoms are. So what is it? Meningitis is a catch-all-term meaning “inflammation of the meninges” which may or may not be caused by an infectious agent. Meninges (men-injeez) are the membranes that cover and protect our brain and spinal cord. Infectious agents are bacteria, viruses, and fungi. So basically, you get an infection such as a virus (a cold or influenza) or a bacterium (bacterial pneumonia or maybe a wound infected with bacteria) and it doesn’t stay where it started. It gets worse and goes into your blood stream and then into your spinal fluid where it gets into your meninges. Your immune system is not very prevalent here and your body is not able to fight off the infection. Then its bad news bears. This is uncommon. So don’t freak out. Signs and symptoms of Meningitis in people aged 2 and up: History of recent illness Sudden high fever (>100.4) Stiff/Painful neck (especially when you bow your head to your chest) Unrelenting and severe headache that seems different than normal Severe nausea and/or vomiting Confusion or difficulty concentrating Seizures Sleepiness or difficulty waking Sensitivity to light No appetite or thirst Skin rash (sometimes) Extreme weakness Signs and symptoms of Meningitis in newborns and children up to age 5: High fever (>100.4) Constant crying Excessive sleepiness or irritability Inactivity or sluggishness Poor feeding A bulge in the soft spot on top of a baby's head (fontanel) Stiffness in a baby's body and neck Populations at risk for meningitis are very young children (newborns to age 5), high schoolers, college kids, the elderly, pregnant women, and anyone that has a depressed immune system. Complications can be severe, especially with bacterial meningitis. Treatment is necessary! It can lead to: Permanent hearing loss Memory difficulties Learning disabilities Permanent brain damage Gait problems Seizures Kidney failure Shock Death If you come to see your primary care provider or to the ER and it’s suspected that you may have meningitis; they will run blood tests, do radiological testing (CT scan, MRI, XR), and you might possibly get a spinal tap. A spinal tap is the Gold Standard Test for meningitis. The doctor will use a needle and syringe to draw spinal fluid out from your spine and it will be tested in the lab for infection. Again, meningitis is not common. I don’t mean to frighten everyone. Just be aware of a cold or the flu that becomes way worse than ever before. And if you’re not sure, but concerned, just give us a call. (719) 743-2421. Stay healthy everyone! http://www.mayoclinic.org/diseases-conditions/ meningitis/home/ovc-20169520 https://www.cdc.gov/meningitis/index.html ~Rebecca Elmshauser, RN Check out our blog for Your Weekly Dose at: www.lincolncommunityhospital.com