The Ewha Medical Journal

"Meningitis"

Original Article

[English]

Clinical Characteristics and Epidemiology of Enteroviral Meningitis Compared to Non-Enteroviral Meningitis in Infants under 3 Months of Age: Jisoo Kim, Hee Won Kang, Young Min Youn, So-Yeon Shim, Eun Ae Park, Su Jin Cho; Ewha Med J 2017;40(3):122-127. Published online July 28, 2017; DOI: https://doi.org/10.12771/emj.2017.40.3.122

Abstract
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Objectives

To compare the epidemiology, clinical presentation, laboratory findings, seasonality and hospital course of enteroviral meningitis (EM) and non-enteroviral meningitis (NEM) cases in infants under 3 months of age.

Methods

A retrospective chart review was performed of infants under 3 months of age or less with viral meningitis admitted to Ewha Womans University Mokdong Hospital between January 2010 and December 2016.

Results

EM patients were more likely to have siblings compared with NEM. Most of EM was diagnosed during the summer season. Almost 80% of EM was diagnosed between July and September. Fever lasted longer in EM patients compared to NEM. White blood cell count (WBC) from the cerebrospinal fluid was higher in EM patients compared with NEM patients. WBC in blood were lower in EM patients compared with NEM patients. C-reactive protein was lower in EM patients compared with NEM patients. Most of the patients were initially started on antibiotics therapy to rule out bacterial meningitis. EM patients received shorter duration of antibiotic treatment compared with NEM patients.

Conclusion

This study was conducted to augment the understanding of the incidence, epidemiology, transmission in infants, clinical presentation, laboratory findings, seasonality and hospital courses of enteroviral meningitis compared to NEM. Early recognition, rapid diagnosis and proper clinical management can reduce duration of antibiotic treatment.

Citations

Citations to this article as recorded by

CLINICAL-EPIDEMIOLOGICAL CHARACTERISTICS OF ASEPTIC MENINGITIS IN CHILDREN OF KHMELNITSKYI REGION (PODILSKYI REGION, UKRAINE): FOURTEEN-YEAR EPIDEMIOLOGICAL OBSERVATION
L. V. Pypa, R. V. Svistilnik, Yu. N. Lysytsia, K. Yu. Romanchuk, I. V. Odarchuk
Journal Infectology.2019; 11(1): 41. CrossRef

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Case Report

[English]

Acute Bacterial Meningitis Caused by Neisseria cinerea: Ko Eun Lee, Hyo Moon Son, Miae Lee, Hee Jung Choi; Ewha Med J 2014;37(2):109-111. Published online September 30, 2014; DOI: https://doi.org/10.12771/emj.2014.37.2.109

Abstract
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Neisseria cinerea is an oropharyngeal normal flora known as a non-pathogenic gram-negative diplococcus. Encephalo-meningitis related to N. cinerea is very rare. A 15-year-old healthy male visited emergency room for altered mentality with fever, headache, and vomiting. Physical examination showed abdominal tenderness and neck stiffness but there was no skin rash. Cerebrospinal fluid (CSF) examination revealed opening pressure of 210 mmH₂O, red blood cell 200/mm³, white blood cell 8,320/mm³, neutrophil 84%, glucose 34 mg/dL, suggesting acute bacterial meningitis. Empirical antibiotics were administered and N. cinerea was identified in CSF culture. The patient showed complete recovery 10 days after administration of ceftriaxone. We report this case as the first N. cinerea meningitis in Korea.

Citations

Citations to this article as recorded by

Infective Endocarditis Caused byNeisseria cinereain a 7-Year-Old Girl Who Had Undergone Surgical Pulmonary Valve Replacement
Moon Sun Kim, Seong Ho Kim, So Ick Jang, Sang Yoon Lee
The Ewha Medical Journal.2017; 40(4): 171. CrossRef
Acute Septic Arthritis and Skin Abscess Caused byNeisseria cinerea
Hyo Moon Son, Ko Eun Lee, Soo Kyung Lim, Youn I Choi, Eun Kyo Jung, Miae Lee, Jae Kwang Kim, Hee Jung Choi
The Ewha Medical Journal.2014; 37(Suppl): S24. CrossRef