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February 6, 2012
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Meningitis in Adults

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Meningitis in Adults Overview

Meningitis is a potentially life-threatening infection of the meninges, the tough layer of tissue that surrounds the brain and the spinal cord. If not treated, meningitis can lead to brain swelling and cause permanent disability, coma, and even death.

Meningitis can be caused by a variety of things, including bacteria (the most serious), viruses, fungi, reactions to medications, and environmental toxins such as heavy metals. Although bacterial and fungal meningitis require extended hospitalization, meningitis caused by viruses can often be treated at home and has a much better outcome.

  • Bacterial meningitis


    • The most serious form of meningitis, bacterial meningitis, occurs in about 3,000-5,000 people in the United States every year.


    • Approximately 20%-25% of the time, even with treatment, bacterial meningitis can be fatal. If bacterial meningitis progresses rapidly, in 24 hours or less, death may occur in more than half of those who develop it, even with proper medical treatment.


  • Viral meningitis


    • Determining how many people get viral meningitis is difficult because it often remains undiagnosed and is easily confused with the flu.


    • The prognosis for viral meningitis is much better than that for bacterial meningitis, with most people recovering completely with simple treatment of the symptoms. Because antibiotics do not help viral infections, they are not useful in the treatment of viral meningitis.
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Meningitis in Adults

Spinal Tap Introduction

  • A spinal tap is a procedure performed when a doctor needs to look at the cerebrospinal fluid (also known as spinal fluid). Spinal tap is also referred to as a lumbar puncture, or LP.)

  • Some of the reasons your doctor may want to do a spinal tap include the following:

    • To look for infection

    • To check to see if there is bleeding around the brain (subarachnoid hemorrhage)

    • To look for causes of unexplained seizures

    • To look for causes of headaches

  • Cerebrospinal fluid is a liquid that bathes the brain and spinal cord. An adult has about 140 mL (just under 5 oz) of spinal fluid. Typically, an adult makes 30-100 mL of spinal fluid daily.

  • A spinal tap can be performed in any person and at any age from newborn to age 100 years ...

Read the Spinal Tap article »


Read What Your Physician is Reading on Medscape

Meningitis »

Meningitis is the term to denote inflammation of the meninges.

Read More on Medscape Reference »

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