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.
Answered 5/8/2016
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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).
Answered 7/5/2019
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