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Abstract
Objective: Our study aimed to summarize symptoms and laboratory findings of pyogenic meningitis at a Vietnam tertiary care hospital.
Methods: We enrolled 33 children diagnosed with pyogenic meningitis admitted at the Pediatric Center, Hue Central Hospital, between January 2019 and July 2021. A pyogenic meningitis case was defined if they had at least one of the following inclusion criteria modified from the World Health Organization definition.
Results: Only 8 out of 33 (24.2%) cases can determine pathogen’s etiology of purulent meningitis and Streptococcus pneumonia was the most common bacteria. The mortality in this study was 12.1 percent. The most symptoms were fever (93.9%) and vomiting (60.6%). Loss of consciousness and poor appetite were predominant among dead patients (75%); seizures and local paralysis accounted for a half. For CSF, the cloudy or smoggy color was the most common in purulent meningitis (54.5%), the number of leucocytes is regularly distributed by greater than 500 cells/ mm3 (48.5%), White blood cells of the death group were considerably higher than its alive group [2170 (1610 - 2800) vs 450 (135 - 1130), p < 0.05].
Conclusions: Fever, vomiting, loss of consciousness, local paralysis, and increased WBC, NEU in CSF had significant importance for severe cases.
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| Published | 29-12-2024 | |
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| Issue | No. 80 (2022) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.80.8 | |
| Keywords | Viêm màng não nhiễm khuẩn, phế cầu, dịch não tủy Bacterial meningitis, S. pneumonia, Vietnam, cerebrospinal fluid |
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Copyright (c) 2022 Journal of Clinical Medicine Hue Central Hospital