A Clinical Study of Mumps Menigitis. |
In Jun Sul, Woo Gill Lee, Young Sil Rhee, Chong MOO Park |
Department of Pediatrics, College of Medicine, Hangyang University, Seoul, Korea. |
流行性 耳下腺炎性 腦膜腦炎의 臨床的 觀察 |
薛仁俊, 李愚吉, 李英實, 朴鍾茂 |
漢陽大學校 醫科大學 小兒科學敎室 |
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Abstract |
Seventy four children with mumps meningitis were hospitalized to Pediatric department, Hangyang University Hospital between May, and August, 1977. The clinical illness of these children were studied and the following results were obtained. 1. The incidental ratio to total inpatients was 1%. 2. The seasonal distribution was highest in summer, and the peak incidence in July(28%). 3. The sex incidence was more common in male(M:F=4:1). 4. According to age distribution, Children between 6 to and 8 years of age comprised 45.2% of alll studied cases. 5. The signs and symptoms of mumps meningitis on admission revealed vomiting, fever, neck stiffness, positive Kernig's sign etc. in order. 6. The symptoms and signs of meningitis were present in 5(7%) before salivary gland swelling, in 56(75%) after it, and in 13(18%) simultaneously. 7. Other salivary gland involvement without parotid gland swelling was relatively high in mumps meningitis compared with simple mumps. 8. Fever was normalized within 4th hospital day in 85% of cases. 9. On C.S.F. findings, the cell counts were elevated in all cases, protein was normal or slightly elevated and sugar was normal in all cases. 10. Average hospital days were 4 days. 11. All cases were completely recovered within 7th hospital day except a case of orchitis and a case of pancreatitis. |
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