Viral Meningitis

11 min read

Viral meningitis is an inflammation of the membranes that cover the brain and spinal cord. It is caused by a virus, and is usually less severe than bacterial meningitis. It is most common in children, but can affect people of any age.

Causes

Viral meningitis is caused by a virus, such as enteroviruses, mumps virus, herpes simplex virus, and West Nile virus. It is spread through contact with an infected person, or through contact with contaminated food or water.

Diagnosis

Diagnosis of viral meningitis is usually made through a physical exam, a review of symptoms, and laboratory tests. These tests may include a lumbar puncture, or spinal tap, to collect a sample of cerebrospinal fluid for analysis.

Complications

Complications of viral meningitis can include hearing loss, seizures, and hydrocephalus, a condition in which fluid builds up in the brain. In rare cases, it can lead to long-term neurological problems.

Prevention

The best way to prevent viral meningitis is to practice good hygiene, such as washing your hands often and avoiding contact with people who are sick. Vaccines are available for some of the viruses that can cause viral meningitis.

Take the Viral Meningitis Assessment

Symptoms

Fever

Fever is one of the most common symptoms of viral meningitis. It is usually accompanied by chills and can range from mild to severe. In some cases, the fever may be high enough to cause delirium or confusion.

Headache

Headache is another common symptom of viral meningitis. It is usually a dull, throbbing pain that is worse when the person moves their head or neck. It may also be accompanied by sensitivity to light.

Stiff Neck

Stiff neck is another symptom of viral meningitis. It is caused by inflammation of the membranes that cover the brain and spinal cord. People with a stiff neck may find it difficult to move their head or neck, and may experience pain when doing so.

Nausea and Vomiting

Nausea and vomiting are also common symptoms of viral meningitis. They may be accompanied by abdominal pain or cramping.

Confusion

Confusion is another symptom of viral meningitis. It is usually caused by the fever and can range from mild to severe. In some cases, the person may become delirious or disoriented.

Rash

In some cases, a rash may develop in people with viral meningitis. The rash may be red or purple and may be accompanied by itching or burning. It is usually located on the trunk or limbs.

Causes

Enteroviruses

The most common cause of viral meningitis is an enterovirus, which is a group of viruses that includes poliovirus, coxsackievirus, echovirus, and enterovirus 71. These viruses are spread through contact with an infected person's saliva, mucus, or feces. They can also be spread through contaminated food or water.

Other Viruses

Other viruses that can cause viral meningitis include mumps, herpes simplex, HIV, West Nile virus, and lymphocytic choriomeningitis virus. Mumps is spread through contact with saliva, while herpes simplex is spread through contact with an infected person's skin or mucus membranes. HIV is spread through contact with infected bodily fluids, while West Nile virus is spread through the bite of an infected mosquito. Lymphocytic choriomeningitis virus is spread through contact with the urine, saliva, or feces of an infected rodent.

Prevention

The best way to prevent viral meningitis is to practice good hygiene. This includes washing your hands often, avoiding contact with people who are sick, and avoiding contact with rodents. It is also important to make sure that food and water are properly prepared and stored.

Getting a Diagnosis

Diagnostic Tests

The most common diagnostic test for viral meningitis is a lumbar puncture, also known as a spinal tap. During this procedure, a needle is inserted into the lower back to collect a sample of cerebrospinal fluid (CSF). The CSF is then tested for the presence of the virus that is causing the meningitis. Other tests that may be used to diagnose viral meningitis include blood tests, imaging tests such as CT scans or MRIs, and a physical examination.

Treatment

Treatment for viral meningitis depends on the type of virus causing the infection. In most cases, the virus will clear up on its own without any treatment. However, if the virus is causing severe symptoms, antiviral medications may be prescribed. In some cases, hospitalization may be necessary to provide supportive care.

Prevention

The best way to prevent viral meningitis is to practice good hygiene and avoid contact with people who are infected. Vaccines are available for some types of viral meningitis, such as mumps and measles. It is also important to get regular check-ups and to follow your doctor's advice for any health concerns.

Questions for Your Doctor

Symptoms

It is important to discuss any symptoms you may be experiencing with your doctor. Common symptoms of viral meningitis include fever, headache, stiff neck, nausea, vomiting, and sensitivity to light. If you are experiencing any of these symptoms, it is important to seek medical attention right away.

Risk Factors

Your doctor may also want to discuss any risk factors that may increase your chances of developing viral meningitis. These risk factors include having a weakened immune system, being exposed to certain viruses, or having a recent head injury. It is important to discuss any of these risk factors with your doctor so that they can provide the best treatment plan for you.

Diagnosis and Treatment

Your doctor may also want to discuss the diagnosis and treatment of viral meningitis. Diagnosis is typically done through a physical exam, blood tests, and a lumbar puncture. Treatment typically involves rest, fluids, and medications to reduce fever and pain. In some cases, hospitalization may be necessary.

Prevention

Finally, it is important to discuss ways to prevent viral meningitis with your doctor. This includes avoiding contact with people who are infected, washing your hands often, and avoiding contact with contaminated food or water. It is also important to get vaccinated against certain viruses that can cause viral meningitis.

Treatment

Antiviral Medications

Antiviral medications may be prescribed to treat viral meningitis caused by certain viruses, such as herpes simplex virus (HSV) or varicella-zoster virus (VZV). These medications can help reduce the severity and duration of the infection. Common antiviral medications used to treat viral meningitis include acyclovir, famciclovir, and valacyclovir.

Pain Medications

Pain medications may be prescribed to help relieve the headache and other symptoms associated with viral meningitis. Common pain medications used to treat viral meningitis include acetaminophen, ibuprofen, and naproxen.

Fluids and Rest

Fluids and rest are important for treating viral meningitis. Drinking plenty of fluids can help prevent dehydration and help the body fight the infection. Resting can help the body recover from the infection and reduce the severity of symptoms.

Prevention

The best way to prevent viral meningitis is to practice good hygiene. This includes washing your hands often, avoiding close contact with people who are sick, and avoiding sharing items such as cups and utensils. Vaccines are also available to help protect against certain viruses that can cause viral meningitis.

Drugs & Medications

Antiviral Medications

Antiviral medications are used to treat viral infections, including viral meningitis. These medications work by interfering with the virus’s ability to replicate and spread. Common antiviral medications used to treat viral meningitis include acyclovir, valacyclovir, and famciclovir. These medications are usually taken orally, but may also be given intravenously in severe cases.

Pain Medications

Pain medications, such as ibuprofen and acetaminophen, may be prescribed to help reduce fever and pain associated with viral meningitis. These medications are usually taken orally, but may also be given intravenously in severe cases.

Corticosteroids

Corticosteroids are medications that reduce inflammation. They may be prescribed to reduce inflammation of the membranes that cover the brain and spinal cord. Common corticosteroids used to treat viral meningitis include prednisone and dexamethasone.

Antibiotics

Antibiotics are medications used to treat bacterial infections. They are not effective against viral infections, so they are not typically used to treat viral meningitis. However, they may be prescribed if a bacterial infection is suspected or if a bacterial infection is present along with the viral infection.

Diet

What to Eat

When recovering from viral meningitis, it is important to eat a balanced diet that is rich in vitamins, minerals, and antioxidants. Eating a variety of fruits and vegetables, whole grains, lean proteins, and healthy fats can help support your immune system and provide the energy you need to heal. Some specific foods to include in your diet are:

  • Fruits and vegetables: Citrus fruits, berries, leafy greens, and cruciferous vegetables like broccoli and cauliflower are all packed with vitamins and minerals.
  • Whole grains: Whole grains like oats, quinoa, and brown rice are high in fiber and can help keep your digestive system running smoothly.
  • Lean proteins: Lean proteins like fish, chicken, and beans are a great source of energy and can help repair damaged tissues.
  • Healthy fats: Healthy fats like olive oil, avocados, and nuts are important for maintaining a healthy immune system.

What to Avoid

When recovering from viral meningitis, it is important to avoid foods that can weaken your immune system or cause inflammation. Some foods to avoid include:

  • Processed foods: Processed foods like chips, crackers, and cookies are high in sugar and unhealthy fats, which can weaken your immune system.
  • Refined carbohydrates: Refined carbohydrates like white bread and pasta are low in nutrients and can cause inflammation.
  • Sugary drinks: Sugary drinks like soda and juice are high in sugar and can weaken your immune system.
  • Alcohol: Alcohol can weaken your immune system and should be avoided while recovering from viral meningitis.

Conclusion

Eating a healthy diet is an important part of recovering from viral meningitis. Eating a variety of fruits and vegetables, whole grains, lean proteins, and healthy fats can help support your immune system and provide the energy you need to heal. It is also important to avoid processed foods, refined carbohydrates, sugary drinks, and alcohol, as these can weaken your immune system and cause inflammation.

Lifestyle

Get Vaccinated

Vaccines are available to protect against some of the viruses that can cause viral meningitis. Talk to your doctor about which vaccines are recommended for you and your family. Getting vaccinated is one of the best ways to reduce your risk of contracting viral meningitis.

Practice Good Hygiene

Good hygiene is essential for preventing the spread of viruses that can cause viral meningitis. Wash your hands often with soap and water, and avoid touching your face with unwashed hands. Disinfect surfaces that may be contaminated with germs, and avoid sharing items such as drinking glasses and utensils with others.

Avoid Crowded Areas

Viruses that can cause viral meningitis can spread easily in crowded areas. Avoid large gatherings and crowded places, such as concerts, sporting events, and public transportation. If you must go to a crowded area, wear a face mask and practice social distancing.

Get Plenty of Rest

Getting enough rest is important for keeping your immune system strong. Aim for 7-8 hours of sleep each night, and take naps during the day if needed. Avoid staying up late and getting too little sleep, as this can weaken your immune system and make you more susceptible to viral meningitis.

Eat a Healthy Diet

Eating a healthy diet can help keep your immune system strong and reduce your risk of viral meningitis. Focus on eating plenty of fruits, vegetables, whole grains, and lean proteins. Avoid processed and sugary foods, as these can weaken your immune system.

Stay Hydrated

Staying hydrated is important for keeping your body healthy and your immune system strong. Aim to drink 8-10 glasses of water each day, and avoid sugary drinks such as soda and juice. If you are feeling thirsty, drink water instead of other beverages.

Exercise Regularly

Regular exercise can help keep your immune system strong and reduce your risk of viral meningitis. Aim for at least 30 minutes of physical activity each day, such as walking, jogging, or biking. Exercise can also help reduce stress, which can further boost your immune system.

Conclusion

Viral meningitis is a serious condition that can cause inflammation of the membranes that cover the brain and spinal cord. Taking steps to reduce your risk of contracting this condition and managing it properly if it does occur is important. By following the lifestyle tips outlined above, you can reduce your risk of viral meningitis and stay healthy.