What is a significant sign of meningitis in children?

A stiff neck is a classic and significant sign of meningitis in children. This symptom arises from irritation of the meninges, the protective membranes covering the brain and spinal cord, which often occurs during infection. When a child has meningitis, the meninges become inflamed, causing pain and discomfort when trying to bend the neck forward or backward, resulting in the characteristic stiffness.

While fever and rash can indicate various infections, including viral or bacterial meningitis, a stiff neck is more specifically associated with meningitis. Vomiting and diarrhea are common symptoms of many gastrointestinal illnesses and may not directly indicate meningitis. Headaches and dizziness can occur with a range of conditions, not solely indicative of meningitis. Therefore, stiff neck stands out as a definitive sign that should prompt further evaluation for meningitis in children.