Meningitis

What are the chances that my feverish baby has
meningitis?
Slim, but hardly negligible. Most of the 3,000 serious
cases reported each year are in young children — risk
is highest in the first year of life. Although the
most common variety, viral meningitis, is not serious
and typically disappears on its own within 10 days,
bacterial meningitis comes on fast and can quickly
lead to brain damage or deafness, and is fatal in 10
to 13 percent of cases. If you are at all concerned
that your baby may have this illness, call your
doctor. Your baby may need to be hospitalized until
they can tell what kind of meningitis he has. Early
treatment is essential for children with bacterial
meningitis.

What is meningitis and what are the symptoms?
The disease develops when infection by a virus or
bacteria inflames the meninges, the membranes lining
the brain and nervous system. The result can look a
lot like the flu: vomiting, irritability, sometimes a
high fever (above 100.4 degrees F). Often there are
more ominous signs, though, such as extreme paleness,
poor feeding, and a bulging fontanelle (the soft spot
or spots on your baby's skull). Early diagnosis is
critical. 

If my baby has meningitis, how do I know how serious
it is?
Only a doctor can tell you that. If the hallmark
symptoms are there, he will do a lumbar puncture, also
know as a spinal tap. This isn't a fun test; your baby
will have to lie on his side in the fetal position,
knees bent and pulled up, and keep still so the doctor
can put a needle in his back. That's the last thing a
sick, irritable baby wants to do, so you will probably
have to hold him in that position. The puncture itself
is less traumatic than it sounds, however. A small
hollow needle enters the space between the vertebrae
(doctors use a topical anesthetic to reduce the sting)
and draws a little spinal fluid for testing. The
doctor will also take blood and urine samples.
Often the pediatrician can confirm a diagnosis of
meningitis on the spot (or at least within a few
hours), based on the blood test. But lab analysis of
the spinal fluid is necessary to learn whether it's
viral or bacterial, and the results usually take three
days. With a severely sick child, you don't wait for
the results. The doctor will start treatment
immediately and continue unless the tests come back
showing no sign of bacteria, which means the illness
is assumed to be caused by a virus. 
---to be continued----



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