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Published on: October 17, 2018
Brief clinical study: Lipid peroxidation and antioxidant status in children with acute purulent meningitis and
Hüseyin Caksen1, Mustafa Cemek, Semiha Dede
1Department of Pediatrics, Faculty of Medicine, Yüzüncü Yil University, Van, Turkey. huseyincaksen@hotmail.com
Insights
Free radicals play a role in childhood meningitis and encephalitis. Lipid peroxidation marker malondialdehyde (MDA) and vitamin C were elevated, while reduced glutathione (GSH) was lower in affected children.
Area of Science:
- Pediatric Neurology
- Biochemistry
- Free Radical Research
Background:
- Acute bacterial meningitis and encephalitis are serious childhood infections.
- Oxidative stress, involving free radicals, is implicated in various neurological disorders.
- Understanding the role of oxidative stress in pediatric CNS infections is crucial for diagnosis and treatment.
Purpose of the Study:
- To investigate lipid peroxidation and antioxidant status in children with acute bacterial meningitis and encephalitis.
- To determine the potential role of free radicals in the pathogenesis of these childhood neurological conditions.
Main Methods:
- Serum levels of malondialdehyde (MDA), reduced glutathione (GSH), vitamin C, vitamin E, beta-carotene, and retinol were measured.
- 16 children with acute bacterial meningitis, 13 with encephalitis, and 17 controls were included.
- Measurements were performed within 6 hours of hospital admission.
Main Results:
- Significant differences were observed in serum MDA, GSH, and vitamin C levels between groups.
- Children with meningitis and encephalitis showed higher MDA and vitamin C, and lower GSH compared to controls.
- Vitamin C levels were significantly lower in encephalitis patients compared to meningitis patients.
Conclusions:
- Serum MDA and GSH levels are altered in children with both meningitis and encephalitis.
- Vitamin C levels are specifically affected in childhood meningitis.
- Serum vitamin E, beta-carotene, and retinol levels were not significantly changed in these conditions.
Abstract:
In this study, lipid peroxidation and antioxidant status were investigated in children with acute bacterial meningitis and encephalitis. The aim was to determine whether there was a possible role of free radicals in meningitis and encephalitis in childhood. Our study included 16 children with acute bacterial meningitis, 13 with encephalitis, and 17 control subjects. Serum malondialdehyde (MDA), reduced glutathione (GSH), vitamin C, vitamin E, beta-carotene, and retinol levels were studied in all subjects within 6 h of admission. There was a statistically significant difference for serum MDA, GSH, and vitamin C between the groups. Serum MDA and vitamin C levels were higher, and serum GSH levels were lower in the study groups compared to the control group. Vitamin C levels were similar in both the encephalitis and control groups, but they were significantly lower in the children with encephalitis than the meningitis group. In conclusion, our study showed that serum MDA and GSH levels were affected in children with both meningitis and encephalitis, but vitamin C level was affected only in children with meningitis. Serum vitamin E, beta-carotene, and retinol levels were not changed in childhood meningitis and encephalitis.
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