Document Detail


Epidemic meningococcal meningitis in adult Ethiopians in Addis Abeba, Ethiopia, 1988.
MedLine Citation:
PMID:  1396615     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
278 patients with pyogenic meningitis admitted to the Tikur Anbessa Teaching Hospital in Addis Abeba, Ethiopia, between January and December 1988 were studied prospectively to describe the epidemiology, microbiology, clinical features and outcome of infection. Fifty-nine per cent of the patients were admitted in the hot dry season between January and the end of June. About half of the patients (57%) were in the age group 15 to 19 years; the male to female ratio was 1.8:1. Two hundred sixty-two specimens (94%) were examined by Gram stain/or culture. N. Meningitidis was cultured from 161 of 243 CSF specimens (65%) and the Gram stain was diagnostic in 108 of 140 CSF specimens (77%). Both Gram stain and culture were negative in 90 of 262 specimens (34%). Thirty-five of the isolates were sero-grouped and all were found to belong to serogroup A. All 30 isolates tested for drug sensitivity were resistant to sulfadiazine but sensitive to penicillin. Forty-three of 204 patients died of their infection, a case fatality rate of 21%: 60% of the deaths occurred in the first 24 hours after admission. Eleven of 13 patients with meningococcaemia expired. The case fatality rates for meningitis and meningococcaemia were 16% and 85% respectively. Nine patients (4%) developed neurologic sequelae: 4 hemiplegia, 3 nerve deafness, 2 cranial nerve palsies. This high morbidity and mortality from meningococcal infection demonstrates the need for a national surveillance programme for the prevention and control of meningococcal disease in the country.
Authors:
D Fekade; D Zawde
Related Documents :
22744245 - Progressive multi-focal leukoencephalopathy as a rare lethal complication in untreated ...
9261285 - Meningitis in older patients: how to diagnose and treat a deadly infection.
670425 - A cerebrospinal fluid leucocidin in pyogenic meningitis.
9682625 - Association between facial cutaneous coccidioidomycosis and meningitis.
16704935 - Kinetic therapy reduces complications and shortens hospital stay in patients with cardi...
20336355 - Exploring primary care providers' interest in using patient navigators to assist in the...
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Ethiopian medical journal     Volume:  30     ISSN:  0014-1755     ISO Abbreviation:  Ethiop. Med. J.     Publication Date:  1992 Jul 
Date Detail:
Created Date:  1992-11-19     Completed Date:  1992-11-19     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0373223     Medline TA:  Ethiop Med J     Country:  ETHIOPIA    
Other Details:
Languages:  eng     Pagination:  135-42     Citation Subset:  IM    
Affiliation:
Department of Medicine, Faculty of Medicine, Addis Abeba University, Ethiopia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cerebrospinal Fluid / microbiology
Disease Outbreaks*
Ethiopia / epidemiology
Female
Hospitals, Teaching
Humans
Male
Meningitis, Meningococcal / diagnosis,  epidemiology*,  therapy
Middle Aged
Prospective Studies
Survival Rate
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Hookworm infection among the Melka Sedi banana plantation residents, middle Awash Valley, Ethiopia.
Next Document:  Multiple myeloma in Ethiopians: analysis of 22 cases.