Tekrarlayan menenjit nadir olarak görülen ancak predispozan faktörlerin arastirilmasini gerektiren ciddi bir enfeksiyondur. Bu çalismada klinigimize tekrarlayan menenjit tanisiyla sevk edilen olgularin klinik bulgulari ve predispozan faktörlerin varligi degerlendirildi. Olgularin 5i (%84) erkek, 1i (%16) kiz, ortalama yas 8.2+2.9 yil ( range 3-11 yas) idi. Basvuru yakinmasi olarak ates, kusma ve basagrisi %84 olguda, %16 olgu da ise kusma ve konvulziyon vardi. Klinik olarak ates yüksekligi ve ense sertligi olgularin tamaminda saptandi. BOSincelemesinde ortalama hücre sayisi: 1086±430/mm3 (540-1500/mm3), glukoz: 28.7±8.8 mg/dl (20-44 mg/dl), protein: 112±48 mg/dl (81-180 mg/dl) idi. Basvurudan önce ortalama menenjit atak sayisi 3.3±1.3 (2-5) idi. Olgularin %84ünde BOS kültüründe üreme oldu ( %50 S.pnemoniae, %16 S.aureus, %16 S.epidermidis). Kraniyal görüntüleme tetkiklerinde; epidermiod kist ve dermal sinus trakti 2 olguda, kafa travmasina sekonder kemik fraktürü ve dura defekti 2 olguda saptandi, antibiyoterapi sonrasi olgulara cerrahi operasyon uygulandi. Tüm olgularin immun tetkikleri normal bulundu. Izlemde menenjit tekrari gözlenmedi.
Tekrarlayan Menenjitli Olgularimiz - Poster 16
Other
Tekrarlayan Menenjitli Olgularimiz - Poster 16
J Curr Pediatr 2006;4(1)
,
- 1Uludag Üniversitesi Tip Fakültesi Çocuk Sagligi Ve Hastaliklari Anabilim Dali, Bursa
- 2Uludag Üniversitesi Tip Fakültesi Çocuk Sagligi Ve Hastaliklari Anabilim Dali, Bursa
Licensed under a Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC) International License.
CC BY-NC — Attribution-NonCommercial 4.0 InternationalThe statements, opinions, and data contained in articles published in this journal are solely those of the individual author(s) and contributor(s) and do not necessarily reflect the views of the journal, its editors, editorial board, owner, or Galenos Publishing House.
Neither the journal nor Galenos Publishing House endorses or recommends any commercial product, process, service, institution, or organization that may be mentioned or advertised in the journal. The publication of advertisements, product information, or links to external websites does not constitute endorsement or approval by the journal or the publisher.
The journal, its editors, editorial board, owner, and Galenos Publishing House make reasonable efforts to ensure the accuracy and integrity of published content; however, they cannot be held responsible for errors, omissions, or any consequences arising from the use of information contained in the journal, to the extent permitted by applicable law.
Information published in the journal is intended for scientific and educational purposes and should not be considered a substitute for professional medical advice, diagnosis, or treatment. Readers should consult appropriately qualified healthcare professionals regarding individual medical conditions or treatment decisions.
External links are provided for informational convenience only. The journal and Galenos Publishing House are not responsible for the availability, accuracy, content, privacy practices, or policies of external websites.
