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

Related Articles

Kidney involvement in tuberous sclerosis complex

Objective: Tuberous sclerosis complex (TSC) is a multisystem autosomal dominant disease characterized by the development of benign neoplasia in skin, brain and kidneys. There are three particular renal disorders in TSC...

Current treatment approaches in patients with ankylosing spondylitis

Ankylosing spondylitis (AS) is a chronic, inflammatory, rheumatic disease that mainly affects sacroiliac joints and spine. AS predominantly occurs more often in males and typically begins in the second or third decade....

 The distribution of T lymphocyte subtypes in cases with different chronic liver disease

 Objective: Hepatitis B is an important infectious disease, which can cause severe chronic cirrhosis and hepatocellular carcinoma in 1-5 % of adult patients. Whereas, Hepatitis D is a defective virus infection t...

Comparison of supportive treatment and pleurodesis in patients with malignant pleural mesothelioma

Objectives: Malignant Pleural Mesothelioma (MPM) is a poor prognosis cancer that affects pleura. This study was designed for examination of the differences between MPM patients which who were received only supportive...

İkinci Basamak Bir Merkezde Yapılan Yenidoğan İşitme Tarama Testlerinin Değerlendirilmesi

Amaç: Afyon Zübeyde Hanım Kadın Doğum ve Çocuk Hastanesi işitme tarama testi protokolleri ve sonuçlarının retrospektif olarak değerlendirilmesi amaçlanmıştır. Yöntemler: Bu çalışmada, 01.04.2010-31.01.2014 tarih­leri a...

Download PDF file
  • EP ID EP140946
  • DOI doi: 10.5798/diclemedj.0921.2013.01.0217
  • Views 111
  • Downloads 0

How To Cite

Mahmut Abuhandan, Mustafa Çalık, Yeşim Oymak, Veysi Almaz, Cemil Kaya, Erdal Eren, Akın İşcan (2013). Meningitis in children: Analysis of 92 cases. Dicle Tıp Dergisi, 40(1), 15-20. https://europub.co.uk/articles/-A-140946