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TRAVEL HEALTH
MENINGITIS

Red Line

Meningitis is a rare illness caused by inflammation of the lining of the brain (meninges).

Meningitis is usually caused by infection. Virus infections are less severe. Bacterial infections, particularly meningococcal ones, can be fatal if not treated early. Meningococcal septicaemia (blood poisoning) can occur with meningitis or on its own.

The symptoms of meningitis may not all appear at the same time and can vary according to age. Symptoms associated with meningitis are:

BulletHeadache (gradual onset, constant, increasing in severity and on bending the neck forward).

Bullet Accompanied by fever, vomiting, drowsiness and sensitivity to light.

Bullet A rash which forms and spreads quickly and looks like bruising.

The rash does not disappear when pressed against a clear glass tumbler but it is often harder to see in dark skinned people. Joint pains and fits may also occur.

For babies and small children, there may be fever, but with cold hands and feet, constant vomiting, fretfulness, a blank and staring expression, difficulty in waking, and refusing food. There can be a high pitched moaning cry and pale blotchy skin.

Early symptoms can be like severe flu and change with the passage of time. If you are concerned then phone your doctor for advice on the best course of action. If there is likely to be a delay then it is best to go straight to Accident & Emergency (Casualty).

If you have been in contact with someone who has had meningitis, you should contact their next of kin to find out any instructions from the hospital, or the director of public health, that they may have been given. Your GP can give appropriate advice after that.

SELF-CARE


Contact your doctor immediately

If the child continues to get more unwell and you notice one or more of the following danger signals:

Babies

Bullet Difficult to wake.

Bullet Vomiting (being sick) all the time.

Bullet Fretful with high pitched crying.

Bullet Refusing feeds.

Bullet Appears pale or blotchy.

Bullet If the soft spot on top of your baby's head is tight or bulging.

Bullet Has a bruising-like rash that does not disappear with pressure from a clear glass tumbler.

Bullet Fever (not always present).

Children and adults

Constant generalised headache with any of the following:

Bullet Fever

Bullet Vomiting

Bullet Drowsiness or confusion.

Bullet Sensitivity to light.

Bullet Neck stiffness (it is painful and difficult to move your chin to your chest).

Bullet The bruising-like rash that does not disappear with pressure from a clear glass tumbler.

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