| Bacterial meningitis in Hong Kong: 10-years' experience. | |
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MedLine Citation:
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PMID: 16023529 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: We studied the etiology, clinical features and outcome of patients with bacterial meningitis from an urban Chinese city over a 10-years period. METHODS: We reviewed the files of all persons aged 15-years old or above diagnosed with community-acquired bacterial meningitis from a regional hospital. The clinical findings, relevant laboratory and imaging results as well as outcome were recorded in cases with microbiological evidence of meningitis. Neurosurgical and pediatric patients were excluded. RESULTS: Sixty-five patients between the ages of 15 and 86 years of age (mean 52 years) were identified of whom 18 (28%) died. The four most common causes were Mycobacteria tuberculosis (46%), Streptococcus pneumoniae (11%), Streptococcus suis (9%) and Klebsiella pneumoniae (8%). Neisseria meningitidis and Haemophilus influenzae were rare pathogens. The annual incidence of community-acquired bacterial meningitis was 1.27/100,000 adults. Delay in treatment was associated with a poorer prognosis (p<0.001, OR=38.84, CI=7.33-205.80). CONCLUSION: The causative organisms found in this region of China differ from that reported from Europe and the US; tuberculous meningitis is the most common cause of bacterial meningitis. |
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Authors:
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A C F Hui; K C Ng; P Y Tong; V Mok; K M Chow; A Wu; L K S Wong |
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Publication Detail:
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Type: Journal Article Date: 2004-11-11 |
Journal Detail:
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Title: Clinical neurology and neurosurgery Volume: 107 ISSN: 0303-8467 ISO Abbreviation: Clin Neurol Neurosurg Publication Date: 2005 Aug |
Date Detail:
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Created Date: 2005-07-18 Completed Date: 2005-10-11 Revised Date: 2009-10-14 |
Medline Journal Info:
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Nlm Unique ID: 7502039 Medline TA: Clin Neurol Neurosurg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 366-70 Citation Subset: IM |
Affiliation:
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Department of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Ngan Shing Street, New Terriotories, Shatin, Hong Kong SAR. cfhui@cuhk.edu.hk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Age Factors Aged Aged, 80 and over Community-Acquired Infections / cerebrospinal fluid, epidemiology, etiology Female Hong Kong / epidemiology Humans Incidence Male Meningitis, Bacterial / cerebrospinal fluid, epidemiology*, etiology Middle Aged Prognosis Sex Factors Survival Rate |
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