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Student Health Clinic - Meningococcal Meningitis Disease Fact Sheet

Grundy Hall Rm 215
319-296-4224

Monday-Friday 8:30-4:00


What is meningococcal meningitis?

Meningococcal disease is a severe bacterial infection of the bloodstream or meninges (a thin lining covering the brain and spinal cord). It is a relatively rare disease and usually occurs as a single isolated event. Clusters of cases or outbreaks are rare in the United States.

Who gets meningococcal disease?

Anyone can get meningococcal disease, but it is more common in infants, children, and young adults.

How is the germ meningococcus spread?

The meningococcus disease is spread by direct contact with mucus or droplets from the nose or throat of an infected person. Meningitis and septicemia caused by Neisseria meningitidis (N. meningitis) can be spread by direct contact with saliva as when kissing, sharing eating utensils, drinks, or cigarettes. Pneumonia caused by N. meningitis can also be transmitted by droplets. Many people carry this particular germ in their nose and throat without any signs of illness, while others may develop serious symptoms.

What are the symptoms?

Although most people exposed to the meningococcus germ do not become seriously ill, some may develop fever, headache, vomiting, stiff neck, and a rash. Up to 25 percent of patients who recover may have chronic damage to the nervous system. The disease is occasionally fatal.

How soon do the symptoms appear?

The symptoms may appear 2 to 10 days after exposure, but usually within 3 to 4 days.

When and for how long is an infected person able to spread the disease?

From the time a person is first infected until the germ is no longer present in discharges from the nose and throat, he or she may transmit the disease. The duration varies according to the treatment used.

Can a person get this disease again?

It is not typical for a person to get meningococcal meningitis a second time.

What is the treatment for meningococcal disease?

Antibiotics such as penicillin, and ampicillin, are used to treat meningococcal disease. Once the initial infection is treated the case should also receive rifampin to clear the carrier state.

Should people who have been in contact with a diagnosed case of meningococcal meningitis be treated?

Only people who have been in close contact (household members, intimate contacts, health care personnel performing mouth-to-mouth resuscitation, day care center playmates, close friends, etc.) need to be considered for preventive treatment. Such people are usually advised to obtain a prescription for a special antibiotic (rifampin, ciprofloxacin, or ceftriaxone) from their physician. Casual contact as might occur in a regular classroom, office, or factory setting is not usually significant enough to cause concern.

Is there a vaccine to prevent meningococcal meningitis?

There is a vaccine that will protect against some of the strains of meningococcus. For some college students, such as freshman living in dormitories, there is a modestly increased risk of meningococcal disease; students and parents should be educated about meningococcal disease and the availability of a safe and effective vaccine. The Meningococcal Meningitis vaccine is recommended in outbreak situations, and for those traveling to areas of the world where high rates of the disease are known to occur. For more information, contact your county health department.

What can be done to stop the spread of the meningococcal disease?

Anyone with cold or flu-like symptoms should cover their mouth and nose with disposable paper tissues (Kleenex) when sneezing or coughing. During outbreaks in schools, pregnant women and people with chronic red blood cell disorders should ask their doctor for advice.

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