Doctor For Meningitis In Mumbai Meningitis is an inflammatory disease of the leptomeninges, the tissues surrounding the brain and spinal cord. The major causes of community – acquired bacterial meningitis in adults are Streptococcus pneumoniae, Neisseria meningitidis, and in those who are over 50 years of age, Listeria monocytogenes. The most common clinical features include a severe headache, fever, seizures, paralysis and altered sensorium. Every patient with suspected meningitis should have a CSF obtained after a procedure, called Lumbar Puncture (LP). Some form of neuroimaging maybe required. Isolation of a bacterial pathogen from the CSF confirms the diagnosis. There maybe growth of bacteria in the blood as well. Bacterial meningitis is a medical emergency. The most important initial management issues are avoiding a delay in administering antimicrobial therapy and choosing an effective drug regimen. The mortality rate of untreated disease approaches 100 percent and, even with optimal therapy, there can be a high failure rate. The specialist doctor should be approached at the earliest onset of symptoms and suspicion.