Meningitis is a brain disease characterized by inflammation of the membranes surrounding the brain and spinal cord. There are a number of possible causes of meningitis, including an immune response to parasites or fungus. It can also be caused by conditions like cancer, lupus, or brain infections. However, the most common causes of meningitis are viral and bacterial infections.
Most cases of meningitis in the United States are attributed to viral infections. These viruses are present in mucus, saliva, and feces. They are spread through direct contact with a person with a virus or an object or surface where the virus is present. Most people with healthy immune systems will recover from the viral form of meningitis on their own. There are several different types of bacteria that can cause bacterial meningitis, which is a rare but potentially fatal condition. Bacterial meningitis can cause brain damage, hearing loss, or learning disabilities.

new cases of meningitis each year in the United States
of meningococcal disease cases occur in preteens, teens, and young adults
of people with bacterial meningitis develop long-term complications
Anyone can get meningitis, but certain age groups have a higher risk of infection. Most cases of viral meningitis happen in children under the age of five. Bacterial meningitis is most common in people under 20 years of age. Living in a community setting like a college dorm or military base can make spreading the infection easier. Individuals with a weakened immune system or certain medical conditions like diabetes or HIV are also more likely to get meningitis.
Meningitis symptoms include fever, vomiting, headache, and feeling unwell. Neck stiffness, purple or red rash, and sensitivity to light are also common. It can be hard to distinguish between symptoms of meningitis and other viruses like the flu, so you should see a doctor right away if you experience any of the above symptoms accompanied by loss of consciousness, seizures, muscle weakness, or confusion. Generally, symptoms of meningitis will worsen rapidly.
Babies and small children with meningitis will have a fever, lack of appetite, and low energy, and may exhibit an abnormal arching of the head, neck, and spine. They may also be more irritable than usual and have tightness or bulging on the top of their head.
When doctors can determine the specific cause of meningitis, they are often able to treat it more effectively. Meningitis is diagnosed based on a medical history and a physical exam, which involves checking for signs of infection around the head, ears, throat, and skin along the spine. Depending on a person’s symptoms and the results of a physical examination, doctors may order additional imaging and lab tests to help identify the condition’s cause. This may include blood samples to check for bacteria; CT or MRI scans to check for swelling around the brain; and X-rays of the chest or sinuses. In some cases, a doctor may even choose to take fluid samples from near the spinal cord in order to make a definitive diagnosis.
The treatment plan depends on the type of meningitis infection present. In most cases, viral meningitis improves over several weeks, though some cases may be treated with antiviral medications given through an injection. Individuals with viral meningitis are advised to rest and increase fluids.
Bacterial meningitis requires immediate hospitalization. In many cases, antibiotics will be given intravenously and doctors will order corticosteroids to help reduce pressure and swelling in the brain. Doctors will also encourage drinking more fluids to prevent dehydration. Fungal meningitis is treated with antifungal medicines given through a needle placed in the arm.
Other treatment options to help recovery may include:
The National Institute of Neurological Disorders and Stroke is working to better understand how the nervous system responds to swelling in the brain. Much of the current research seeks to develop deeper insights into the body’s natural regulation of the blood-brain barrier in order to better understand all neuroinflammatory diseases. Researchers are also looking at the role T cells play in preventing infections in the brain. This research will lead to new treatments for a variety of brain and spinal cord diseases like meningitis.
New to research? Read our guide, How to Read a Research Study, to learn some tips for reading scientific publications and interpreting results.
NINDS: Meningitis and Encephalitis Fact Sheet
Inflammation and Brain Disease: Meningitis and Encephalitis
Neuroinflammation: What Many Brain Diseases Have in Common

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