Meningitis in children: Analysis of 92 cases
Journal Title: Dicle Tıp Dergisi - Year 2013, Vol 40, Issue 1
Abstract
Objective: In this study, we aimed to evaluate cases of meningitis for epidemiologic, clinical, laboratory findings and the treatment response. Materials and methods: We evaluated ninety two patients whose diagnosis were meningitis retrospectively between January 2010 and December 2011, for age, gender, presenting symptoms, physical examination, laboratory findings and treatments. The patients who were hospitalized with central nervous system infection were diagnosed as meningitis by examination of cerebrospinal fluid (CSF) under a microscope and evaluation of biochemical (glucose, protein, chloride) results and / or culture. Results: Fifty patients were male and 42 were female, mean age was 4.2 ± 4.1 years. The most common symptoms were fever (91.3%), vomiting (87.0%), headache (68.5%), and convulsion (20.7%). On physical examination in descending order neck stiffness (60.9%), Brudzinski phenomenon (50%), Kernig sign (46.7%), altered consciousness (16.3%) and rash (2.2%) were detected. When patients were classified in terms of clinical and laboratory findings; bacterial meningitis was determined 53.4%, aseptic in 38% and tuberculous meningitis in 7,6%. CSF and blood culture were positive in 13 of and seven of the cases respectively. The most frequent complications were seizures, cranial nerve palsy, hydrocephalus and the syndrome of inappropriate ADH. Mortality rate was determined as 2.2%. Conclusion: The patients especially with symptoms of fever, vomiting, headache and convulsions, meningitis should be considered primary disease. Key words: Child, meningitis, clinical signs, treatment
Authors and Affiliations
Mahmut Abuhandan, Mustafa Çalık, Yeşim Oymak, Veysi Almaz, Cemil Kaya, Erdal Eren, Akın İşcan
Keywords
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- EP ID EP140946
- DOI doi: 10.5798/diclemedj.0921.2013.01.0217
- Views 111
- Downloads 0
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