Erişkin posttravmatik tekrarlayan menenjitlerin değerlendirilmesi

Four of the patients developed epilepsy and one developed deafness as sequelae.CONCLUSION: Since RBM attacks are frequently observed following trauma, in patients with a history of trauma who present with meningitis, the risk of recurrence should be considered

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: Acute bacterial meningitis may develop as a complication after head trauma.

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Key Findings & Data:RBM was diagnosed in twenty-five patients (11.8%), and in 18 of these patients (8.5%), the attacks had occurred subsequent to a trauma.

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Conclusion & Impact:Four of the patients developed epilepsy and one developed deafness as sequelae.CONCLUSION: Since RBM attacks are frequently observed following trauma, in patients with a history of trauma who present with meningitis, the risk of recurrence should be considered

🔬Design:Review & Systematic Survey

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

BACKGROUND: Acute bacterial meningitis may develop as a complication after head trauma. The aim of this study was to present the demographic, clinical, microbiological and radiological characteristics of adult patients who presented with recurrent bacterial meningitis attacks after trauma.METHODS: Using a retrospective approach, the medical records of patients with acute recurrent bacterial meningitis (RBM) were reviewed, and those who had a history of trauma were included into the study. RBM was diagnosed based on clinical, bacteriologic and laboratory results. Demographic characteristics, clinical course, laboratory test results including cerebrospinal fluid analysis (CSF), radiological images, and the applied treatments were evaluated.RESULTS: A total of two hundred and twelve patients with acute bacterial meningitis were included into the study. RBM was diagnosed in twenty-five patients (11.8%), and in 18 of these patients (8.5%), the attacks had occurred subsequent to a trauma. In the CSF cultures of four patients, S. pneumoniae growth was observed. CT cisternography indicated CSF leaks in eleven patients. Moreover, bone fractures were observed in the CT images of ten patients. Ceftriaxone therapy was prescribed to 83% of the patients. Eight patients had a history of a fall in childhood, and five were involved in traffic accidents before acute bacterial meningitis. Four of the patients developed epilepsy and one developed deafness as sequelae.CONCLUSION: Since RBM attacks are frequently observed following trauma, in patients with a history of trauma who present with meningitis, the risk of recurrence should be considered

Özet

AMAÇ: Akut bakteriyel menenjit kafa travmalarının bir komplikasyonu olarak gelişebilir. Bu çalışmanın amacı kafa travmaları sonrası gelişen erişkin tekrarlayan bakteriyel menenjit (TBM) olgularının demografik, klinik, mikrobiyolojik ve radyolojik özelliklerini sunmaktır.GEREÇ VE YÖNTEM: Çalışma geriye dönük olarak yapıldı. TBM gelişen olguların medikal kayıtları değerlendirildi. Bunlardan kafa travması öyküsü olanlar çalışmaya alındı. TBM tanısı klinik, bakteriyolojik ve laboratuvar testleri kullanılarak konuldu. Hastaların demografik özellikleri, klinik gidişi, beyin omurilik sıvısı (BOS) test sonuçları, radyolojik görüntüleme ve hastaların tedavileri değerlendirildi.BULGULAR: Toplam 212 akut bakteriyel menenjitli hasta çalışmaya dahil edildi. TBM hastaların sayısı 25 idi (%11.8). Bunların da 18'i travmayı takiben gelişen ataklardı. Dört hastanın BOS kültüründe S. pneumonia üremesi gözlendi. Beyin tomografisi (BT) sisternografisi 11 hastada kaçağı gösterdi. Ayrıca on hastanın BT incelemesinde kemik kırığı gözlendi. Hastaların %83'üne seftriakson tedavi olarak verildi. Akut bakteriyel menenjit öncesi sekiz hastada çocukluk çağında düşme ve beş hastada trafik kazası öyküsü vardı. Dört hastada epilepsi ve bir hastada sağırlık gelişti.TARTIŞMA: Tekrarlayan bakteriyel menenjit sıklıkla travmayı takiben geliştiğinden dolayı, travma hikayesi olan menenjitli hastaların tekrar gelişme riski açısından göz önünde bulundurulması gerekir

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Cite This Article

DEVECİ, Ö., UYSAL, C., VAROL, S., TEKİN, R., BOZKURT, F., BEKÇİBAŞI, M., HOŞOĞLU, S. (2015). Erişkin posttravmatik tekrarlayan menenjitlerin değerlendirilmesi. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 21 - Sayı: 4, 261–265. https://ajindex.com/articles/323811

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