Partially treated meningitis
| Autor: | Edward B. Lewin |
|---|---|
| Rok vydání: | 1974 |
| Předmět: |
medicine.medical_specialty
Haemophilus influenzae type Penicillins Meningitis Meningococcal Neisseria meningitidis medicine.disease_cause Cerebrospinal fluid Internal medicine medicine Humans Meningitis Antigens Meningitis Haemophilus Prior treatment business.industry Meningitis Pneumococcal Aseptic meningitis Infant medicine.disease Antimicrobial Haemophilus influenzae Streptococcus pneumoniae Child Preschool Pediatrics Perinatology and Child Health Immunology Aseptic processing business |
| Zdroj: | American journal of diseases of children (1960). 128(2) |
| ISSN: | 0002-922X |
| Popis: | Approximately 18,000 cases of bacterial meningitis are identified in children under the age of 5 years in the United States annually. In this age group, Haemophilus influenzae type b, Diplococcus pneumoniae , and Neisseria meningitidis are responsible for 87% of those cases in which the etiologic agent is demonstrable. 1 A total of 43% to 50% of these patients receive some form of antimicrobial therapy before a diagnostic lumbar puncture is performed. 2-6 The question is frequently asked: does pretreatment with small doses of antimicrobials significantly alter cerebrospinal fluid (CSF) findings in bacterial meningitis? A related problem is the differentiation of aseptic from bacterial meningitis when clinical and CSF findings do not clearly distinguish the two. Effects of Antecedent Therapy Several studies have suggested that prior treatment with antimicrobials may alter CSF findings, leading to an erroneous diagnosis of aseptic meningitis. 2,7,8 More recently, other investigators 3-6 have presented data |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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