The symptoms of bacterial and the viral meningitis are often similar, making it challenging to distinguish between the two based solely on symptoms. Common symptoms indicative of meningitis include:
- Fever, accompanied by seizures,
- Impaired consciousness
- Irritability and lethargy
- nausea and vomiting
Key signs of meningitis are:
- Neck stiffness (pain or resistance neck flexion)
- Increased sensitivity to light (photophobia), often with drowsiness or irritability
- In infants, a bulging fontanel (the soft spot on the head) due to increased pressure
- Purpuric rash, which may suggest bacterial meningitis
For infants and young children with fever of unknown origin, a high index of suspicion for meningitis is necessary. Diagnosis typically involves a lumbar puncture to obtain cerebrospinal fluid for testing.