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Home >
Infectious Disease Control >
Aseptic Meningitis
Aseptic Meningitis
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Aseptic Meningitis
Meningitis is an infection of the membranes surrounding the brain and the spinal cord. People
sometimes refer to meningitis as spinal meningitis. Meningitis can be caused by a virus or by
non-viral agents (such as a bacterium or a fungus). Different viruses can lead to viral meningitis.
According to the Centers for Disease Control and Prevention (CDC), most aseptic (viral)
meningitis cases in the United States, particularly during the summer and fall months, are caused
by enteroviruses (which include enteroviruses, coxsackieviruses, and echoviruses). Only a small
number of people with enterovirus infections develop meningitis.
Other viral infections that can lead to aseptic (viral) meningitis include mumps, infection with
herpes family viruses (such as Epstein-Barr virus, herpes simplex viruses, and varicella-zoster
virus—the cause of chickenpox and shingles), measles, and influenza.
Organism
Most aseptic (viral) meningitis cases are caused by a virus.
Transmission
The different viruses that can cause viral meningitis can be spread to other people in many ways.
The most common viruses are spread through direct or indirect contact with saliva or mucuses
from the nose or lungs. Viruses can also be spread when a person comes in contact with feces of
an infected person such as when changing a diaper or using the toilet.
Symptoms
Aseptic (viral) meningitis is serious but rarely fatal in healthy people with normal immune
systems. Usually, symptoms last from 7 to 10 days and the patient recovers completely.
People with this condition may have the following symptoms:
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Headache
Neck stiffness
Sensitivity to light
Increased sleepiness
Unresponsiveness
Fever
Nausea, vomiting
Lack of appetite
Prevention
To prevent spreading viruses that can cause aseptic meningitis, be sure to:
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Avoid close contact with people who are sick
Stay home from work, school, and errands when you are sick
Cover your mouth and nose with a tissue when coughing or sneezing
Wash your hands often
Avoid touching your eyes, nose or mouth
Keep current on all recommended vaccinations
See the CDC’s website, Stopping the Spread of Germs at Home, Work & School,
(http://www.cdc.gov/flu/protect/stopgerms.htm) for more information on good health and
hygiene practices.
Aseptic (viral) meningitis is not normally as severe as bacterial meningitis. People with aseptic
meningitis usually do not need to take medication. With bed rest and by increasing their fluid
intake, people with this condition will usually recover on their own. However, it is important to
consult with your healthcare provider.
School Exclusion Policy
Children with viral or aseptic meningitis should be kept out of school until they are fever free for
24 hours without the use of fever suppressing medications. Rules for exclusion of sick children
from school and childcare are outlined in the Texas Administrative Code, specifically Rule 97.7
for schools and Rule 746.3603 for childcare.
Recent Texas Trends
Aseptic (viral) meningitis was last reportable in Texas in 2012. From 2003-2012, the incidence
rate of aseptic meningitis showed a downward trend. From 2007-2012, incidence rates were
highest in children, especially infants.
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Last updated February 27, 2017
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