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Treatments and drugs

By Mayo Clinic staff

The treatment depends on the type of meningitis you or your child has.

Bacterial meningitis
Acute bacterial meningitis requires prompt treatment with intravenous antibiotics and, more recently, cortisonelike medications, to ensure recovery and reduce the risk of complications. The antibiotic or combination of antibiotics that your doctor may choose depends on the type of bacteria causing the infection. Your doctor may recommend a broad-spectrum antibiotic until he or she can determine the exact cause of the meningitis.

If you or your child has bacterial meningitis, your doctor may also recommend treatments for:

  • Brain swelling
  • Shock
  • Convulsions
  • Dehydration

Infected sinuses or mastoids — the bones behind the outer ear that connect to the middle ear — may need to be drained. Infected fluid that has accumulated between the skull and the membranes that surround the brain also may need to be drained surgically.

Viral meningitis
Antibiotics can't cure viral meningitis, and most cases improve on their own in a week or two without therapy. Treatment of mild cases of viral meningitis usually includes:

  • Bed rest
  • Plenty of fluids
  • Over-the-counter pain medications to help reduce fever and relieve body aches

If the cause of your meningitis is a herpes virus, there's an antiviral medication available.

Other types of meningitis
If the cause of your meningitis is unclear, your doctor may start antiviral and antibiotic treatment while a cause is being determined.

Fungal meningitis treatments are associated with harmful side effects, so treatment is often deferred until a laboratory can confirm the cause is fungal.

Non-infectious meningitis due to allergic reaction or autoimmune disease may be treated with cortisonelike medications. In some cases, no treatment may be required, because the condition can resolve on its own. Cancer related meningitis requires therapy for the individual cancer.

References
  1. Meningitis questions & answers. Centers for Disease Control and Prevention. http://www.cdc.gov/meningitis/about/faq.html. Accessed June 8, 2010.
  2. Tunkel AR. Clinical features and diagnosis of acute bacterial meningitis in adults. http://www.uptodate.com/home/index.html. Accessed June 1, 2010.
  3. Meningitis and encephalitis fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/encephalitis_meningitis/detail_encephalitis_meningitis.htm. Accessed June 8, 2010.
  4. Johnson RP. Aseptic meningitis in adults. http://www.uptodate.com/home/index.html. Accessed June 8, 2010.
  5. Meningococcal vaccines: What you need to know. Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-mening.pdf. Accessed June 8, 2010.
  6. FDA approves the first vaccine to prevent meningococcal disease in infants and toddlers. FDA. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm252392.htm. Accessed April 27, 2011.
DS00118 April 29, 2011

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