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Symptoms of viral meningitis can also develop after a person has had symptoms of a cold or influenza, such as a runny nose or diarrhea. The symptoms of viral meningitis can resemble symptoms of other diseases, such as influenza. These symptoms can include fever, headache, and nausea and vomiting. Symptoms in infants can also include irritability, lethargy, unusual drowsiness, and poor feeding.
Clinically, meningitis manifests with meningeal symptoms (eg, headache, nuchal rigidity, or photophobia), as well as pleocytosis (an increased number of white blood cells [WBCs]) in the cerebrospinal fluid (CSF). Depending on the duration of symptoms, meningitis may be classified as acute or chronic.ost cases of meningitis are caused by an infectious agent that has colonized or established a localized infection elsewhere in the host. Potential sites of colonization or infection include the skin, the nasopharynx, the respiratory tract, the gastrointestinal (GI) tract, and the genitourinary tract.