Meningitis is a relatively rare infection that affects the delicate membranes -- called meninges (men-in'-jeez) -- that cover the brain and spinal cord. Bacterial meningitis can be deadly and contagious among people in close contact.

Meningitis is almost always caused by a bacterial or viral infection that began elsewhere in the body, such as in the ears, sinuses, or upper respiratory tract. Less common causes of meningitis include fungal infection, autoimmune disorders, and medications.

Meningitis and septicaemia can kill in hours

The first symptoms are usually fever, vomiting, headache and feeling unwell.

Limb pain, pale skin, and cold hands and feet often appear earlier than the rash, neck stiffness, dislike of bright lights and confusion.