Document Detail


Sonography in pyogenic meningitis.
MedLine Citation:
PMID:  7896329     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this prospective study to evaluate usefulness of ultrasonography for early diagnosis and monitoring of complications of acute pyomeningitis, we performed serial sonographic examinations of skull in 50 infants (with open fontanelle) with proven pyomeningitis. One or more abnormal sonographic findings were detected in 32 infants. These were echogenic sulci (26%), ventriculomegaly with some or other complication (26%), brain abscess (20%), ventriculitis (14%), subdural effusion (6%) and cerebral edema (10%), and were detected mostly after the first week of illness. Ultrasonographic findings were in complete agreement with CT scan diagnosis of ventriculomegaly, ventriculitis, solitary brain abscess and cerebral edema. However, sonography missed cases of subdural effusion (2 out of 5), multiple brain abscesses (1 out of 2), and cerebral infarction (all the four), which were detected on CT Scan. Serial sonographic findings were useful in documenting progressive increase in ventricular size in all the 13 infants with ventriculomegaly and monitoring response to anti-edema therapy in 5 infants with cerebral edema. Sonography is a useful tool for diagnosis of complications of pyomeningitis after the first week of illness, and for monitoring the progress of ventriculomegaly.
Authors:
R Arrumugham; S Katariya; P Singhi; S Singhi; S Suri; B N Walia
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian pediatrics     Volume:  31     ISSN:  0019-6061     ISO Abbreviation:  Indian Pediatr     Publication Date:  1994 Nov 
Date Detail:
Created Date:  1995-04-25     Completed Date:  1995-04-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985062R     Medline TA:  Indian Pediatr     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  1329-36     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Brain Diseases / microbiology,  ultrasonography*
Female
Humans
Infant
Infant, Newborn
Male
Meningitis, Bacterial / complications,  ultrasonography*
Prospective Studies
Suppuration

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