Retrospective evaluation of cases with tuberculosis meningitis: Single Center Experience

Authors : Yasemin DEMİR YİĞİT, Ebral YİĞİT

Pages : 16-23

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Publication Date : 2022-01-29

Article Type : Research Paper

Abstract :A total of 172 patients were retrospectively investigated who were admitted to the Pediatric Department of Dicle University School of Medicine between 1997 and 2005 with the diagnosis of tuberculous meningitis. Demographic data, clinical, laboratory, and radiological findings and responses to treatment were analyzed. Of all patients, 124 insert ignore into journalissuearticles values(%72,1); were under 5 years of age and 109 were males. The most common symptoms on admission were fever insert ignore into journalissuearticles values(%71);, vomiting insert ignore into journalissuearticles values(%60);, convulsion insert ignore into journalissuearticles values(%38);, and headache insert ignore into journalissuearticles values(%31);. Fouty seven insert ignore into journalissuearticles values(%23,8 ); patients had a positive family history of tuberculosis. Tuberculin skin test positivity was seen in %19,6 and %20,1 had positive BCG scar. Of all patients 32 insert ignore into journalissuearticles values(%18,6); were in stage I, 82 insert ignore into journalissuearticles values(%47,7); were in stage II and 58 insert ignore into journalissuearticles values(%33,7); were in stage III on admission. Chest X-Ray showed pathological findings in %60,9 of all patients. Hydrocephalus was detected in 149 patients on cranial tomography. A ventriculoperitoneal shunt was performed in 79 patients with hydrocephalus. Totally, 24 deaths were detected from all patient records. Since the diagnosis of tuberculous meningitis is difficult and the disease has a high morbidity and mortality rate, the importance of preventive measures in the control of the disease has been emphasized in this study
Keywords : Chidren, tuberculosis, meningitis