Can you have bacterial meningitis without having a fever?

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.
Yes. Uncommon, but not unheard of. Elderly patients sometimes present with change in mental status only.
Yes ...but... I've seen it in an 8 yo who presented in coma after spending the night on a sofa. He had poor blood pressure, no blood cell response, no fever and a spinal tap teeming with meningococcal germs. His system had no immune response to the germ & he died within hours. I consider it an outlier, as 100% of my other cases had fever.
Very,Very Rarely. Almost always, bacterial meningitis is accompanied by fever and the patient has serious symptoms such as severe headaches, stiff neck, vomiting, occasional loss of of consciousness.But I have seen it without fever in children.

Related Questions

Can you have bacterial 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...

Could I have bacterial meningitis without fever or vomiting, but with neck pain but not stiff and mild headaches?

Unlikely. Patients with bacterial meningitis are usually very sick and rapidly worsen without hospitalization and IV antibiotic treatment. Persons with autoimmune disease on nonsteroidal antiinflammatory agents can get drug induced meningitis. Read more...
Not likely. Your symptoms could be due to multiple potential causes. But meningitis is not likely. These kids of symptoms can be due to stress, neck strain, the flu or even the weather changing. If your symptoms persist or worsen, get checked out. Read more...

If a toddler had bacterial meningitis with a high fever when their fever went down with medicine would they feel better or still be really sick?

Good sign. The improvement in fever is a good sign, but there still may be a lot of inflammation preset. Speak to her doctor for regular update of her condition. Read more...
Meningitis. This severe illness may have significant neurological sequelae. This will depend upon the time of diagnosis, the time elapsed before therapy was started, the organism responsible and the age and immune status of the toddler. The fever coming rapidly down is a good sign and portends the probability of survival of this fatal disease, but you need to wait to see complete outcome. Best wishes. Read more...

With bacterial meningitis is a high fever above 103 always present. Being flu season could sore/stiff neck+headache but no real fever just be the flu?

Possibly. It is possible that your symptoms are all related to the flu. With the flu, you can have headaches and body aches. But if your headache is severe and you have a stuff neck it would be good to get checked out. Meningitis is a serious infection, and it's not the kind of thing that you'd want to 'wait it out' with. Read more...

Is bacterial meningitis the result of the flu gone awry? Why does it start with flu-like symptoms?

No. The flu is caused by viruses and bacterial meningitis is cause by bacteria - different types of organisms. It is possible for your body to be weakened during a viral illness and that can make you more susceptible to a bacterial infection. Read more...
No cause and effect. No, flu is caused by a virus, the only way one can get bacterial meningitis is being secondarily infected or the flu has knocked out ones resistance. Read more...
No. The flu is caused by a virus. Bacterial meningitis refers to one of several bacteria that have found their way into the brain to cause infection. Read more...

Would your WBC be elavated in a CBC if you have bacterial meningitis? If not what would be elavated in the cbc

Often, not always. If there is any suspicion of bacterial meningitis clinically, you should already have had a lumbar puncture and analysis of the spinal fluid. You describe mild headaches -- that's not bacterial meningitis. You also mention "monocytes and basophils are a little elevated" on your CBC -- that's no concern. Just needing glasses can make your life miserable with headaches -- happened to me. Read more...
White count. Yes your white count would normally be elevated with a shift to the left of your neutrophils. Read more...