title: CT scan in children with acute bacterial meningitis: experience from emergency department of a tertiary-care hospital in Karachi, Pakistan.
abstract: OBJECTIVE
  To determine the role of computed tomography scan in children presenting to emergency department with symptoms and signs of suspected acute bacterial meningitis.
  
  
  METHODS
  The retrospective analysis was done on children who were admitted through the Emergency Department at Aga Khan University Hospital, Karachi, from September 2009 to September 2011 with the diagnosis of acute bacterial meningitis. Information related to age, gender, presenting complaints, clinical signs and symptoms, computed tomography scan findings and final outcome of patients was gathered from the medical records. SPSS 19 was used for statistical analysis.
  
  
  RESULTS
  A total of 192 patients were admitted with the relevant diagnosis. The male-female ratio was 2.3:1. Computed tomography scan was done in 114 (59.4%) patients. The scan was reported normal in 90 (78.94%) patients. However, cerebral oedema was found in 16 (14.03%) patients, cerebral infarct in 6(5.26%) and hydrocephalus in 2 (1.75%) patients. Overall, there were 6 (3.1%) deaths.
  
  
  CONCLUSIONS
  Comuted tomography scan may have a beneficial role in children with acute bacterial meningitis. However, further studies are required to use the scan as a routine investigation for such a diagnosis.
authors.forename: Jabeen
authors.initials: J
authors.lastname: Fayyaz
authors.forename: Arshalooz
authors.initials: A
authors.lastname: Rehman
authors.forename: Akhter
authors.initials: A
authors.lastname: Hamid
authors.forename: Munawar
authors.initials: M
authors.lastname: Khursheed
authors.forename: Nukhba
authors.initials: N
authors.lastname: Zia
authors.forename: Asher
authors.initials: A
authors.lastname: Feroze
authors.forename: Uzma Rahim
authors.initials: UR
authors.lastname: Khan
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D016920:Meningitis, Bacterial / Q000000981:diagnostic imaging*; D010154:Pakistan; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D014057:Tomography, X-Ray Computed