All issues > Volume 32(2); 1989

Original Article

J Korean Pediatr Soc. 1989;32(2):180-190. Published online February 28, 1989.

Clinical Observations of Meningitis.

Byoung Hoon Lee¹, Hyung Keun Nam¹, Myung Ik Lee¹, Keun Chan Sohn¹

¹Department of Pediatrics, National Medical Center, Seoul, Korea

Received: June 8, 1987;  Accepted: September 12, 1988.

Abstract

The 267 cases of meningitis were observed at National Medical Center between Jan. 1st 1979 and May 31, 1986. The results were as follow; 1) In BM and TM sexual difference was not notice, but male was more in AM. 2) In BM infancy was the most common, but school age was common was AM. 3) Most cases developed during spring in BM and TM and summer in AM 4) Common chief complaints were fever, vomiting and headache and on physical exam, neck stiffness, Kering’s sign and Brudzinski’s sign were more common in 3 meningitis. 5) In CSF on admission, leukocytes showed 59.4% of BM above 1000/m³ , 58.4% of AM below 100/ mm³ and 60% of TM between 101 and 300/mm³ Protein was 26.8% of BM between 201 and 500 mg/ dl, 55.7% of AM below 40 mg/dl and 37.3% of TM between 41 and 100 mg/dl. Sugar was 75.0, 80.7% of BM and TM each below 40 mg/dl, 76.3% of AM above 50 mg/dl. In sugar ratio of CSF /Blood, Most cases of BM and TM were below 40%, but AM were above 60%. 6) Hospital course was longer in BM and TM and mortality of BM was 20.0%, but sequale and death was rare in AM. 7) In BM, Organisms on CSF culture revealed meningococci, E coli, H influenza, Pneumococci, Proteus, Klebsiella and Serratia etc. 8) Serum CRP was related with organic complications such as hydrocephalus, CNS involvement, low intelligence, visual or hearing disturbance.

Keywords :B.M.(Bacterial meningitis) T.M. (Tubercular meningitis) A.M.(Aseptic meningitis)