| Community-acquired recurrent bacterial meningitis in adults. | |
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MedLine Citation:
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PMID: 17682979 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Community-acquired recurrent bacterial meningitis in adults is a relatively rare disease. All previous data were derived from small retrospective case series. METHODS: We prospectively evaluated episodes of recurrent bacterial meningitis in a nationwide cohort study in The Netherlands. RESULTS: Thirty-four episodes of recurrent bacterial meningitis were identified among 31 patients; 3 patients experienced 2 episodes during the study period. The mean age was 43 years, and 25 (74%) of 34 episodes occurred in men. Predisposing conditions were involved in 26 (77%) of 34 episodes; the most common predisposing conditions were remote head injury (17 [53%] of 32 episodes) and cerebrospinal fluid (CSF) leakage (9 [32%] of 28 episodes). Lumbar puncture revealed an individual CSF indicator of bacterial meningitis for almost all episodes (88%). The outcome was death for 5 (15%) of 34 episodes; 1 additional patient had a suboptimal score on the Glasgow Outcome Scale. CONCLUSION: We conclude that most patients with recurrent meningitis are male and have predisposing conditions, which, in most cases, are remote head injury or CSF leakage. |
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Authors:
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Kirsten S Adriani; Diederik van de Beek; Matthijs C Brouwer; Lodewijk Spanjaard; Jan de Gans |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2007-07-23 |
Journal Detail:
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Title: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America Volume: 45 ISSN: 1537-6591 ISO Abbreviation: Clin. Infect. Dis. Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-08-08 Completed Date: 2007-09-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9203213 Medline TA: Clin Infect Dis Country: United States |
Other Details:
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Languages: eng Pagination: e46-51 Citation Subset: IM |
Affiliation:
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Department of Neurology, Center of Infection and Immunity Amsterdam, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. k.s.adriani@amc.uva.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Causality Community-Acquired Infections / epidemiology Craniocerebral Trauma / complications* Female Glasgow Coma Scale Humans Incidence Male Meningitis, Bacterial / complications, microbiology, mortality* Middle Aged Netherlands / epidemiology Prospective Studies Recurrence Risk Factors Sex Factors Subdural Effusion / complications* |
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