Meningitis Scare Here
Meningitis Scare Here
Over 100 residents of the Montauk Motel and several members of the Montauk Fire Department's ambulance squad were administered preventive antibiotics this week after three men were sent to Southampton Hospital with symptoms of bacterial meningitis.
On Friday county health officials dispensed antibiotics to over 100 adults and 17 young children, none of whom attends school, as well as intravenous doses for three infants, all living at the Montauk Motel. The Montauk Ambulance Company declined to say how many of its members had been similarly treated.
The measures were precautionary, health workers, including the deputy county health commissioner, Dr. Martin Mayer, stressed, and the two men who were kept at the hospital ultimately tested negative for meningococcemia.
Family History
On March 4, Dr. Gavino Mapula treated a man, whose name was not released, whose daughter, now 6 months old, had tested positive for the virus in January and was treated successfully with antibiotics.
After an examination, and in part because of the infant's history, Dr. Mapula determined the need for further testing on her father and suggested that ambulance volunteers transport him to Southampton Hospital.
Later in the afternoon the patient's brother appeared on Dr. Mapula's doorstep with similar symptoms. He, too, was taken to Southampton Hospital, where he was examined as a precautionary measure and released.
Then, last Thursday, one of the family's neighbors began to display classic symptoms of the meningococcemia virus. He went straight to Southampton Hospital, where, he, too, was admitted, and where he remained until Tuesday.
Common Symptoms
According to Dr. Mayer, meningococcemia is a form of meningitis in which bacteria spread to the bloodstream, where they rapidly grow and produce toxins which can be fatal. The virus is transmitted through droplets of blood or mucus among individuals in close contact with each other.
Symptoms include high fever, a stiff neck, a red rash, nausea, and diarrhea, Dr. Mapula said, as well as a sensitivity to light.
The captain of the Montauk Ambulance Company, John Salmon, said that the flu making the rounds in Montauk this week, which is accompanied by a bad headache, was "paralleling the scare of meningitis."
Preventive Measures
The two men who were admitted to the hospital were treated with antibiotics, but Dr. Mayer and Dr. Mapula said their blood cultures came back negative. "If they haven't grown by now, after five days, they're not going to," Dr. Mayer said on Tuesday afternoon.
The infant's immediate family, including her father, had been treated with a course of preventive antibiotics at the time of her illness. Dr. Mayer said the antibiotics might have altered the results of the blood culture taken last week, but indicated that he thought that unlikely.
Members of the Montauk Ambulance Squad who handled the call were also put on a course of preventive antibiotics - "just as a precaution," Mr. Salmon said. "We always have to imagine the worst-case scenario to protect our volunteers," he added.
Meanwhile, rumors spread through the hamlet over the weekend that children attending the Montauk Public School had been stricken.
"Not true," said Jack Perna, the Superintendent. "There were no school-age children involved; this hasn't affected us at all."
By 9 a.m. Monday the school nurse, Sonya Scofield, said, she had already received over 20 phone calls. A flier sent home with the students that afternoon attempted to alleviate parents' concern by assuring them that, besides the infant girl, who was infected in January, there had been no other confirmed cases of meningococcemia.