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4. Symptoms of meningitis

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Symptoms of meningitis can appear in any order. Some may not appear at all. In the early stages, there may not be a rash, or the rash may fade on pressure.

You should get medical help immediately if you're concerned about yourself or your child.

Trust your instincts and do not wait until a rash develops.

Symptoms of meningitis, septicaemia and meningococcal disease include:

• a high temperature
• cold hands and feet
• vomiting
• confusion
• breathing quickly
• muscle and joint pain
• pale, mottled or blotchy skin
• spots or a rash
• headache
• a stiff neck
• a dislike of bright lights
• being very sleepy or difficult to wake
• fits (seizures)

Babies may also:

• refuse feeds
• be irritable
• have a high-pitched cry
• have a stiff body or be floppy or unresponsive
• have a bulging soft spot on the top of their head

Someone with meningitis, septicaemia or meningococcal disease can get a lot worse very quickly.

Call 999 for an ambulance or go to your nearest A&E if you think you or your child might be seriously ill.

Call NHS 111 or your GP surgery for advice if you're not sure if it's anything serious.

Meningitis rash

If a rash does not fade under a glass, it can be a sign of sepsis (sometimes called septicaemia or blood poisoning) caused by meningitis and you should call 999 straight away.