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March 8, 1919, Vol 72, No. 10 >

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ARTICLE | March 8, 1919

MENINGEAL CONDITIONS NOTED DURING THE EPIDEMIC OF INFLUENZA

JOSEPHINE B. NEAL, M.D.
JAMA. 1919;72(10):714. doi:10.1001/jama.1919.02610100022008.
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In reviewing the cases of meningeal involvement developing during the epidemic of influenza, my attention has been drawn to three points:

  1. Very few cases of meningitis have been due to the influenza bacillus. I have seen two cases, and have examined the fluids of a third. In previous years, I have seen as many in an equal length of time. If this epidemic was due to the influenza bacillus, it seems strange that it did not more frequently invade the meninges.

  2. During October and the early part of November, I saw a larger number of cases of epidemic meningitis than is usual at that season, and the number dropped off subsequently. The great majority of these cases gave a history of an attack, clinically influenza, immediately preceding the development of the meningitis. In some instances, the meningitis appeared as the influenza was subsiding, in other instances after convalescence

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