All issues > Volume 42(6); 1999

Original Article

J Korean Pediatr Soc. 1999;42(6):765-770. Published online June 15, 1999.

Clinical Study of Aseptic Meningitis from 1996 to 1998 in Chounju Presbyterian Medical Center, Korea

Seung Woo SW Paik¹, Byoung Lae BL O¹, Sun Ja SJ Cho¹, Young Taek YT Chang¹

¹Department of Pediatrics, Presbyterian Medical Center, Chounju, Korea.

Correspondence Seung Woo SW Paik ,Email: 1

Abstract

Purpose
: There was an explosive prevalence of aseptic meningitis for three years from 1996 to 1998. In this study, we reported the time of outbreak, clinical manifestation, CSF examination of patient, and CSF virus culture.
Methods
: We reviewed clinical records of 794 aseptic meningitis patient who had been admitted to Chounju Presbyterian Medical Center. The total number of patients was 794 patients from 1996 to 1998.
Results
: The ratio of male to female was 1.74 : 1. Aseptic meningitis was prevalent in summer and fall. The majority of aseptic meningitis occurred in children between 1 and 5 years of age. The frequency of clinical manifestations was fever, vomiting, headache, and abdominal pain. In peripheral blood examination, leukocytosis(WBC>10,000/mm3) was showed in 67.1% of cases. On CSF examination, WBC count were less than 500/mm3 in 87.4% of case and protein levels were less than 60mg/dl in 91.9% of case and glucose levels were more than 40 mg/dl in 97.9% of case. In CSF virus culture, type nonspecific Enterovirus, Echovirus 9, Echovirus 4, Echovirus 6 was cultured.
Conclusion
: There were an epidemic of aseptic meningitis in the Chounju area from July to September in 1996 and from April to June in 1997 and 1998. As for clinical manifestations, CSF examination of aseptic meningitis patients showed no great difference compared to other aseptic meningitis study. Causative organisms were type nonspecific Enterovirus, Echovirus 9, Echovirus 4, Echovirus 6 and were cultured.

Keywords :Aseptic meningitis