I am writing in response to your article 'Drug combination keeps fever away' (Courier, September 3) about the latest British Medical Journal findings that children suffering from fever get better faster with ibuprofen, rather than paracetamol.

Although for many parents, these findings will feel like a positive step forward in treating their child when they have a fever, it is important that they are also aware that a fever can be a symptom of meningitis and, as such, we, the Meningitis Trust, would urge parents to be vigilant and to trust their instincts if they are concerned.

Meningitis is a disease that can strike within just a few minutes and kill within hours. Quick action can save lives and increase the chance of not being left with devastating after-effects. With many symptoms of the disease being similar to more common illnesses, such as flu, it's important for parents to know the tell-tale signs and remember that fever can be one of these.

Symptoms can include fever (possibly with cold hands and feet), headache, stiff neck, dislike of bright lights, drowsiness, joint pain, vomiting, diarrhoea and confusion. In babies, an unusual cry, dislike of being handled and refusing feeds are also signs that can point to meningitis. The rash that is commonly associated with meningitis doesn't appear in all cases. Symptoms can appear in any order and some may not appear at all. If in doubt always seek urgent medical advice.

The Meningitis Trust has a free 24-hour helpline, which is led by nurses specially trained in meningitis, providing information and support. Anyone concerned should call 0800 028 18 28 or visit our website at www.meningitis-trust.org. Free signs and symptoms cards are also available from us for people to keep in their wallets.

Sue Davie
Chief Executive
The Meningitis Trust