On a Friday night in October 1999, Michigan State sophomore Adam Busuttil felt a cold coming on, so he decided to leave his friends and get back to his dorm early and get some rest before the Saturday Michigan State football game, where he played in the marching band.
But the next morning, Busuttil felt worse, and decided to stay home from the game.
By the afternoon, Busuttil had passed out in the shower, hitting his arm and head during the fall.
And by Saturday night, Busuttil was rushed to the emergency room; his fever had spiked, his blood pressure dropped to 50 over 15 and his feet and fingers had turned black from sepsis, a poisoning of the blood that is often triggered in bacterial meningitis patients.
After being diagnosed with bacterial meningitis, Busuttil's doctors amputated portions of seven of his fingers, his big toe and parts of his other toes on his left foot.
Busuttil also suffered from brain damage that left him relearning how to perform daily tasks.
"I had to learn how to tie my shoe, open a door, write," said Busuttil, who is now a 30-year-old elementary school music teacher. "It was pretty intense."
Busuttil returned to Michigan State the following year, where he rejoined the marching band and earned his degree.
Meningitis is an inflammation of the membranes that cover the brain and spinal cord, and is usually caused by a viral or bacterial infection. Viral meningitis tends to be less severe than bacterial.
Bacterial can cause brain damage, hearing loss, learning disabilities and even death, sometimes in a matter of hours.
According to the National Meningitis Association, about 1,500 Americans were diagnosed with meningitis each year between 1998 and 2007, and 11 percent died of the illness.
Among those who survived, about 20 percent suffer from long-term side effects, including brain damage, kidney disease, hearing loss or limb amputations.
"The numbers aren't that high, but when one of them is your kid, it doesn't matter what the numbers are," said Kelly Madison, president of the Meningitis Foundation of America.
Now, the New York City Department of Health and Mental Hygiene is reporting six new cases of bacterial meningitis, the same illness that Busuttil survived more than a decade ago.
Two Manhattan women in their 20s and a Staten Island woman in her 50s died from the illness in the past month.
The six patients ranged in age, from 4 to 74, but health officials said that strains of the infection were different and not likely linked.
In response to the six cases, the New York City Department of Health and Mental Hygiene sent a memo to health care providers across the city to remind doctors and nurses to report meningitis cases as soon as possible.
"We sent out an alert to remind doctors to report a meningococcal case immediately, and also to remind them that, especially at this time of year, meningococcal disease can look like the flu and other things," said Dr. Donald Weiss, director of surveillance for bureau of communicable disease investigator for the New York City Department of Health and Mental Hygiene.
While the six cases were not likely related, Weiss said that it's important for physicians to keep meningococcal disease on their radar, especially during cold and flu season.