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Naples, FL
A 28-year-old female asked:

is it possible to have meningitis or encephalitis with no fever or vomiting?

3 doctor answers5 doctors weighed in
Dr. Johanna Fricke
Developmental and Behavioral Pediatrics 50 years experience
No, fever, headache,: neck ache/stiffness, lethargy, changes in sensorium, activity & appetite & often vomiting are signs of these infections. You'd be pretty sick if you had meningitis or encephalitis. Even mild viral meningitis would be associated with fever & feeling pretty rotten.
Dr. Natalie Hodge
Pediatrics 26 years experience
Yes: This is not the typical presentation, but meningitis could present with listlessness and altered mental state without fever and vomiting. The key here is ill appearance in a patient who does not improve their mental state with a dose of motrin or tylenol (acetaminophen).
Dr. Bennett Machanic
Neurology 52 years experience
Very unlikely: But why do you fear you have either meningitis or encephalitis? Have you discussed this with your doctor. Would we be able to assist via Concierge consult?

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Last updated Jul 5, 2019
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