Author/Authors :
Abuhandan, Mahmut Harran Üniversitesi - Tıp Fakültesi - Çocuk Sağlığı ve Hastalıkları AB, Turkey , Çalık, Mustafa Harran Üniversitesi - Tıp Fakültesi - Çocuk Nöroloji BD, Türkiye , Oymak, Yeşim Harran Üniversitesi - Tıp Fakültesi - Çocuk sağlığı ve Hastalıkları ABD, Türkiye , Almaz, Veysi Harran Üniversitesi - Tıp Fakültesi - Çocuk sağlığı ve Hastalıkları ABD, Türkiye , Kaya, Cemil Harran Üniversitesi - Tıp Fakültesi - Çocuk sağlığı ve Hastalıkları ABD, Türkiye , Eren, Erdal Harran Üniversitesi - Tıp Fakültesi - Çocuk sağlığı ve Hastalıkları ABD, Türkiye , İşcan, Akın Harran Üniversitesi - Tıp Fakültesi - Çocuk Sağlığı ve Hastalıkları AB, Turkey
Title Of Article :
Meningitis in children: Analysis of 92 cases
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.
NaturalLanguageKeyword :
Child , meningitis , clinical signs , treatment
JournalTitle :
Dicle Medical Journal
