A Clinical Observation of Tuberculous Meningitis in Childhood |
Ki Chang Han, Sang Ha Suh, Goo Yong Chung, Dong Hong Ahn |
Dept, of Pediatrics, College of Medicine, Kyungpook National University, Taegu,Korea |
小兒結核性 腦膜炎의 臨床的 觀察 |
韓基昌, 徐相夏, 鄭九容, 安斗洪 |
경북대학교 의과대학 소아과학교실 |
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Abstract |
We observed 129 cases of tuberculous meningitis that were admitted to the department of pediatrics,
Kyungpook National University Hospital during the 9 years from January, 1964 to December,
1972.
The results were as follows:
1) The annual incidence of patient was not decreased.
2) The seasonal incidence was highest in spring
3) The age incidence was highest in the age of 1 to 2, and 74. 5% were under the age of 6 year.
4) In 31% of the 129 Cases, we found the source of infection among family members and most
of them both parents.
5) At the time of admission, vomiting and fever were the most common complaints.
6) Evidence of tuberculosis outside the meninges was found in 69.8 % of Cases. A roentgenogram
of chest was normal in 30. 8% and miliary tuberculosis in 11.5%.
7) During hospitalization clinically favorable responses were obtained with treatment (I.N.H,
P.A.S., streptomycin and corticosteroid) in 65 cases (50. 4%), and 35 cases (19.4%) died.
8) In 9 Cases of the neurological sequelae, seizure was seen in 4 cases, hemipbgia in 2 Cases and
personality disorder in 2 cases.
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