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Warning-sign checks

Viral meningitis: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services if you or another person has:

    • Confusion, collapse, or increasing difficulty waking
    • A seizure
    • New weakness, trouble speaking, or unusual behaviour
    • Severe breathing difficulty
    • Rapidly worsening symptoms
    • A dark red or purple rash that does not fade when pressed
    • Severe illness in a baby, including poor feeding, unusual sleepiness, floppiness, or a bulging soft spot
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Get urgent medical assessment for a new combination of severe headache, fever, neck stiffness, vomiting, or marked sensitivity to light.

    Do not wait for every typical symptom to appear or for a rash to develop.

    After diagnosis, seek urgent reassessment if symptoms worsen, fever returns, vomiting prevents fluids from staying down, or new neurological symptoms appear.

    And for anyone, someone who:

    • has a fever with a stiff neck, a rash that does not fade under pressure, or severe headache
  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up is appropriate for recovery concerns that are stable rather than worsening, such as lingering fatigue, mild headaches, sleep disruption, or difficulty returning to work or school.

Every sign above is quoted from the sofidex article on Viral meningitis. If you are not sure, err upward — it is always reasonable to be checked.