[Acute bacterial meningoencephalitis in children. Complications and neurologic sequelae].
We studied 271 children under age of 15 with diagnosis of acute bacterial meningencephalitis treated at Medical School in Ribeirão Preto, University of São Paulo, between 1980 and 1990. The patients were divided in two groups: 1) those who had not received previous antibiotics treatment (NTP), with 153 cases; and 2), those who had received previous antibiotics treatment (PT), with 118 cases. The etiological agent was more frequently identified in NPT group, while ventriculitis was more frequent in PT group. Mortality rate accounted for 19.5% of all cases, and 29.7% of children under 12 months of age. Acute meningitis caused by Streptococcus pneumoniae was frequently followed by increased mortality. Convulsive disorders and hemiparesis predominante among children under 12 months of age. On the neurosurgical point of view, ventriculitis, subdural hygroma, hydrocephalus, subdural empyema and brain abscess were identified and treated.
Natalino
W
W
Departmanto de Neuropsiquiatria e Psicologia Médica da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Brasil.
Moura-Ribeiro
M V
MV
D000208:Acute Disease; D000293:Adolescent; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000150:complications* / Q000188:drug therapy; D002648:Child; D002675:Child, Preschool; D002701:Chloramphenicol / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008590:Meningoencephalitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology*; D010406:Penicillins / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D010406:Penicillins; D002701:Chloramphenicol; D000667:Ampicillin
Meningencefalites bacterianas agudas em crianças. Complicações e sequelas neurológicas.