Doctor insights on:
Can You Have Viral Meningitis Without Fever
Possibly: I can remember one 8 yo kid that arrived in a coma with low body temperature, low blood pressure & died within hours of Meningococcal meningitis/sepsis. He also showed no increased in white count or other sign of an immune response. That was the exception to the usual presentation with fever, irritability etc for hundreds of cases i treated.Beware the always/never idea for anything. ...Read more
Viral meningitis is inflammation of the tissues in the brain and spinal cord that is caused most commonly by enteroviruses. Viral meningitis is not usually as severe as bacterial meningitis and usually resolves without any treatment. However, viral meningitis that is caused by the herpes virus can be life threatening if left untreated. Symptoms include fever, neck stiffness, ...Read more
Highly unlikely: The symptoms of meningitis are fever, stiff neck, head ache, altered mental status and in some cases seizures. Viral meningitis is usually milder than bacterial meningitis . It would be very unusual to have bacterial meningitis without a fever. This would only occur in the very elderly or the severely immunosuppressed. ...Read moreSee 3 more doctor answers
Yes: Meningitis can result from infections of throat, nasal passages and ears. Fevers are not required. There may be rashes due to the bacteria which causes meningitis. Everyone must be careful to watch for the disease - especially in close quarter living (military basic training etc) and can be spread by cough. ...Read moreSee 1 more doctor answer
Never seen it: highly unlikely. These illnesses are quite toxic and usually make one feverish ...Read more
Yes: Many types of viruses can cause pneumonia and not infrequently they may also cause a rash. The classic is varicella virus which is also known as chicken pox. Adults with varicella seem to be more predisposed to getting viral pneumonia in association with the classic rash. ...Read moreSee 1 more doctor answer
Throat culture: is the most specific means to determining the exact cause of a sore throat. Rapid tests such as throat swabs will detect Strep infections with 80% accuracy, but will provide no information about a specific viral cause. Blood tests may be helpful in determining if antibiotics are warranted. Be wary of those who diagnose a throat infection by sight alone. ...Read more
Sinus inf symptoms: The primary symptoms of sinus infection are purulent nasal drainage and facial pain and pressure. These often start with a simple cold (or allergies), which usually involve common respiratory symptoms--congestion, slight cough, low grade fever, watery drainage), but the cold may be completely resolved by time the fluid in the sinuses gets infected, so you may not still be having respiratory sympto. ...Read more
Yes: One can get viral meningitis more than once. However, in this case, your doctor will likely consider further evaluation like searching for particular viral strains (e.g. Hsv and cmv), search for underlying rheumatologic disorders , blood disorders and immune deficiency. A lot of other types of meningitis can look like viral and should be considered in this case. ...Read more
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