Recurrent bacterial meningitis.
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/720 |
Resumo: | Recurrent bacterial meningitis (RBM) is an unusual entity and usually poses a considerable diagnostic challenge. Different conditions can predispose for recurrence of episodes and the isolated pathogen can guide the diagnosis. The aim of this study was to characterize all RBM admitted to our tertiary paediatric hospital.Retrospective analysis of the medical records of all children with RBM, between January 1994 and December 2007 (14 years).During this period, 107 children with bacterial meningitis (BM) were admitted. Among those, 10 (9.3%) had more than 1 episode of BM. Five (4.7%) had cerebrospinal fluid shunt. In the other 5 (4.3%), 11 episodes of BM were identified. S. pneumoniae was isolated in the majority of episodes (4) followed by N. meningitis (2). An anatomical defect, namely post-traumatic CSF leakage, was present in 3 children and S. pneumoniae was isolated in all. A predisposing condition has not yet been identified in 2 children and no anatomical defect or immunodeficiency was found despite full investigation.It was identified a high proportion of RBM compared to other series, that could be explained by the fact of being a tertiary hospital. An anatomical defect was the most frequent cause and S. pneumoniae the most frequent bacteria. In cases without an obvious predisposing condition an exhaustive evaluation, including search for anatomical and immunological defects, was performed but no changes were identified. |
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Recurrent bacterial meningitis.Meningite bacteriana recorrente.Recurrent bacterial meningitis (RBM) is an unusual entity and usually poses a considerable diagnostic challenge. Different conditions can predispose for recurrence of episodes and the isolated pathogen can guide the diagnosis. The aim of this study was to characterize all RBM admitted to our tertiary paediatric hospital.Retrospective analysis of the medical records of all children with RBM, between January 1994 and December 2007 (14 years).During this period, 107 children with bacterial meningitis (BM) were admitted. Among those, 10 (9.3%) had more than 1 episode of BM. Five (4.7%) had cerebrospinal fluid shunt. In the other 5 (4.3%), 11 episodes of BM were identified. S. pneumoniae was isolated in the majority of episodes (4) followed by N. meningitis (2). An anatomical defect, namely post-traumatic CSF leakage, was present in 3 children and S. pneumoniae was isolated in all. A predisposing condition has not yet been identified in 2 children and no anatomical defect or immunodeficiency was found despite full investigation.It was identified a high proportion of RBM compared to other series, that could be explained by the fact of being a tertiary hospital. An anatomical defect was the most frequent cause and S. pneumoniae the most frequent bacteria. In cases without an obvious predisposing condition an exhaustive evaluation, including search for anatomical and immunological defects, was performed but no changes were identified.Recurrent bacterial meningitis (RBM) is an unusual entity and usually poses a considerable diagnostic challenge. Different conditions can predispose for recurrence of episodes and the isolated pathogen can guide the diagnosis. The aim of this study was to characterize all RBM admitted to our tertiary paediatric hospital.Retrospective analysis of the medical records of all children with RBM, between January 1994 and December 2007 (14 years).During this period, 107 children with bacterial meningitis (BM) were admitted. Among those, 10 (9.3%) had more than 1 episode of BM. Five (4.7%) had cerebrospinal fluid shunt. In the other 5 (4.3%), 11 episodes of BM were identified. S. pneumoniae was isolated in the majority of episodes (4) followed by N. meningitis (2). An anatomical defect, namely post-traumatic CSF leakage, was present in 3 children and S. pneumoniae was isolated in all. A predisposing condition has not yet been identified in 2 children and no anatomical defect or immunodeficiency was found despite full investigation.It was identified a high proportion of RBM compared to other series, that could be explained by the fact of being a tertiary hospital. An anatomical defect was the most frequent cause and S. pneumoniae the most frequent bacteria. In cases without an obvious predisposing condition an exhaustive evaluation, including search for anatomical and immunological defects, was performed but no changes were identified.Ordem dos Médicos2010-10-22info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/720oai:ojs.www.actamedicaportuguesa.com:article/720Acta Médica Portuguesa; Vol. 23 No. 5 (2010): September-October; 823-8Acta Médica Portuguesa; Vol. 23 N.º 5 (2010): Setembro-Outubro; 823-81646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/720https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/720/398Dias, AndreaRios, HelenaCorreia, AlexandreCosta, José AugustoRodrigues, Fernandainfo:eu-repo/semantics/openAccess2022-12-20T10:56:47Zoai:ojs.www.actamedicaportuguesa.com:article/720Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:42.739691Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Recurrent bacterial meningitis. Meningite bacteriana recorrente. |
title |
Recurrent bacterial meningitis. |
spellingShingle |
Recurrent bacterial meningitis. Dias, Andrea |
title_short |
Recurrent bacterial meningitis. |
title_full |
Recurrent bacterial meningitis. |
title_fullStr |
Recurrent bacterial meningitis. |
title_full_unstemmed |
Recurrent bacterial meningitis. |
title_sort |
Recurrent bacterial meningitis. |
author |
Dias, Andrea |
author_facet |
Dias, Andrea Rios, Helena Correia, Alexandre Costa, José Augusto Rodrigues, Fernanda |
author_role |
author |
author2 |
Rios, Helena Correia, Alexandre Costa, José Augusto Rodrigues, Fernanda |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Dias, Andrea Rios, Helena Correia, Alexandre Costa, José Augusto Rodrigues, Fernanda |
description |
Recurrent bacterial meningitis (RBM) is an unusual entity and usually poses a considerable diagnostic challenge. Different conditions can predispose for recurrence of episodes and the isolated pathogen can guide the diagnosis. The aim of this study was to characterize all RBM admitted to our tertiary paediatric hospital.Retrospective analysis of the medical records of all children with RBM, between January 1994 and December 2007 (14 years).During this period, 107 children with bacterial meningitis (BM) were admitted. Among those, 10 (9.3%) had more than 1 episode of BM. Five (4.7%) had cerebrospinal fluid shunt. In the other 5 (4.3%), 11 episodes of BM were identified. S. pneumoniae was isolated in the majority of episodes (4) followed by N. meningitis (2). An anatomical defect, namely post-traumatic CSF leakage, was present in 3 children and S. pneumoniae was isolated in all. A predisposing condition has not yet been identified in 2 children and no anatomical defect or immunodeficiency was found despite full investigation.It was identified a high proportion of RBM compared to other series, that could be explained by the fact of being a tertiary hospital. An anatomical defect was the most frequent cause and S. pneumoniae the most frequent bacteria. In cases without an obvious predisposing condition an exhaustive evaluation, including search for anatomical and immunological defects, was performed but no changes were identified. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-10-22 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/720 oai:ojs.www.actamedicaportuguesa.com:article/720 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/720 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/720 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/720 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/720/398 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 23 No. 5 (2010): September-October; 823-8 Acta Médica Portuguesa; Vol. 23 N.º 5 (2010): Setembro-Outubro; 823-8 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799130620811542528 |