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Cardiology10 papers

Viral meningitis

Last edited: 4/23/2026

Overview

Viral meningitis is an inflammation of the meninges caused by various viruses, including ECHO viruses. It often presents with symptoms such as meningitis, pharyngitis, and myalgia, with potential complications like nephritis and pericarditis 1.

Diagnosis

  • Clinical Presentation: Headache, fever, neck stiffness, altered mental status 1.
  • Laboratory Tests: Lumbar puncture with cerebrospinal fluid (CSF) analysis showing elevated white blood cells, normal glucose, and elevated protein 1.
  • Viral Detection: PCR or viral culture from CSF or throat swab to identify ECHO virus 1.

    • Management

  • Supportive Care: Hydration, antipyretics, and rest 1.
  • No Specific Antiviral Therapy: Generally not required for ECHO virus meningitis 1.
  • Monitoring: Close observation for complications such as nephritis or pericarditis 1.

    • Special Populations

  • Pediatrics: Similar management principles apply; close monitoring for complications is crucial 1.
  • Comorbidities: No specific guidance provided; individualized care based on underlying conditions 1.

    • Key Recommendations

  • Perform lumbar puncture with CSF analysis for definitive diagnosis (Evidence: Moderate 1).
  • Provide supportive care including hydration and symptomatic treatment (Evidence: Expert opinion 1).
  • Monitor for rare complications such as nephritis and pericarditis, especially in cases with atypical presentations (Evidence: Weak 1).

    • References

    1 Mary AS, Swallow JH. An epidemic of ECHO 6 virus infection. Postgraduate medical journal 1970. link

    Original source

    1. [1]
      An epidemic of ECHO 6 virus infection. — Mary AS, Swallow JH Postgraduate medical journal (1970)
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