title: [Etiology, clinical course, and the methods and results of the treatment of suppurative meningoencephalitis in adults--personal observations data].
abstract: The authors discuss problems connected with the clinical, aetiological diagnosis, methods and results of treatment of purulent meningoencephalitis in adults. The basis for the discussion were own experiences obtained during hospitalization of 578 patients in the period 1981-1990. As a results of this analysis the authors found that the organisms causing this disease most frequently were, as previously, Neisseria meningitidis and anaerobic Haemophilus influenzae were still highly unsatisfactory. Complete recovery was obtained in 73.3% of cases, 6.6% were discharged with various neurological sequelae, and 29.1% died. Cases of pneumococcal origin, frequent after cranial trauma, showed the most severe course, had the highest percent of psychoneurological complications and recurrences with the highest death rate.
authors.affiliation: Klinika Chorób Zakaźnych dla Dorosłych Instytutu Chorób Zakaźnych i Pasozytniczych Akademii Medycznej, Warszawie.
authors.forename: Z
authors.initials: Z
authors.lastname: Olejnik
authors.forename: J
authors.initials: J
authors.lastname: Janeczko
authors.forename: R
authors.initials: R
authors.lastname: Strzelecki
authors.forename: W
authors.initials: W
authors.lastname: Przyjałkowski
authors.forename: D
authors.initials: D
authors.lastname: Lipowski
authors.forename: M
authors.initials: M
authors.lastname: Baranowska
authors.forename: B
authors.initials: B
authors.lastname: Romanowska
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D004334:Drug Administration Schedule; D004359:Drug Therapy, Combination; D004756:Enterobacteriaceae Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008589:Meningococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008590:Meningoencephalitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D012008:Recurrence; D012074:Remission Induction; D012720:Severity of Illness Index
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Etiologia, klinika, metody i wyniki leczenia ropnych zapaleń opon mózgowo-rdzeniowych i mózgu u dorosłych--na podstawie danych z własnych obserwacji.