Abstract
Forty-four cases of meningococcal meningitis in children at one hospital between 1971 and 1975 inclusive were studied to document the course and complications of this disease in children in the current therapeutic era. The mortality was 5%. Of the 41 survivors 76% were healthy 1 to 5 years after the episode of meningitis. Permanent severe sequelae (facial palsy, optic atrophy and ptosis) were seen in three (7%) of the survivors, and mild hearing loss, hyperactivity and nervousness were noted in seven (17%). Electroencephalography was not useful in determining management or prognosis. Both the mortality and the frequency of early and late complications among the survivors were lower than those reported from earlier studies.
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- Chartrand S. A., Cho C. T. Persistent pleocytosis in bacterial meningitis. J Pediatr. 1976 Mar;88(3):424–426. doi: 10.1016/s0022-3476(76)80257-0. [DOI] [PubMed] [Google Scholar]
- DODGE P. R., SWARTZ M. N. BACTERIAL MENINGITIS--A REVIEW OF SELECTED ASPECTS. II. SPECIAL NEUROLOGIC PROBLEMS, POSTMENINGITIC COMPLICATIONS AND CLINICOPATHOLOGICAL CORRELATIONS. N Engl J Med. 1965 May 13;272:1003–CONCL. doi: 10.1056/NEJM196505132721906. [DOI] [PubMed] [Google Scholar]
- Evans-Jones L. G., Whittle H. C., Onyewotu I. I., Egler L. J., Greenwood B. M. Comparative study of group A and group C meningococcal infection. Arch Dis Child. 1977 Apr;52(4):320–323. doi: 10.1136/adc.52.4.320. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Finland M., Barnes M. W. Acute bacterial meningitis at Boston City Hospital during 12 selected years, 1935-1972. J Infect Dis. 1977 Sep;136(3):400–415. doi: 10.1093/infdis/136.3.400. [DOI] [PubMed] [Google Scholar]
- Goldacre M. J. Acute bacterial meningitis in childhood. Incidence and mortality in a defined population. Lancet. 1976 Jan 3;1(7949):28–31. doi: 10.1016/s0140-6736(76)92921-4. [DOI] [PubMed] [Google Scholar]
- HAGGERTY R. J., ZIAI M. ACUTE BACTERIAL MENINGITIS. Adv Pediatr. 1964;13:129–181. [PubMed] [Google Scholar]
- Jacob J., Kaplan R. A. Bacterial meningitis. Limitations of repeated lumbar puncture. Am J Dis Child. 1977 Jan;131(1):46–48. doi: 10.1001/archpedi.1977.02120140048007. [DOI] [PubMed] [Google Scholar]
- Lim D., Gewurz A., Lint T. F., Ghaze M., Sepheri B., Gewurz H. Absence of the sixth component of complement in a patient with repeated episodes of meningococcal meningitis. J Pediatr. 1976 Jul;89(1):42–47. doi: 10.1016/s0022-3476(76)80924-9. [DOI] [PubMed] [Google Scholar]
- Pollard R. B. Early bilateral eighth nerve involvement in meningococcal meningitis. South Med J. 1976 Mar;69(3):343–344. doi: 10.1097/00007611-197603000-00033. [DOI] [PubMed] [Google Scholar]
- SWARTZ M. N., DODGE P. R. BACTERIAL MENINGITIS--A REVIEW OF SELECTED ASPECTS. 1. GENERAL CLINICAL FEATURES, SPECIAL PROBLEMS AND UNUSUAL MENINGEAL REACTIONS MIMICKING BACTERIAL MENINGITIS. N Engl J Med. 1965 Apr 8;272:725–CONTD. doi: 10.1056/NEJM196504082721406. [DOI] [PubMed] [Google Scholar]
- Stiehm E. R., Damrosch D. S. Factors in the prognosis of meningococcal infection. Review of 63 cases with emphasis on recognition and management of the severely ill patient. J Pediatr. 1966 Mar;68(3):457–467. doi: 10.1016/s0022-3476(66)80250-0. [DOI] [PubMed] [Google Scholar]
- Wehrle P. F., Mathies A. W., Leedom J. M., Ivler D. Bacterial meningitis. Ann N Y Acad Sci. 1967 Sep 27;145(2):488–498. doi: 10.1111/j.1749-6632.1967.tb50249.x. [DOI] [PubMed] [Google Scholar]