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.

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