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Pyogenic meningitis.

H S Mital1, T N Mehrotra, S Dutt

  • 1Department of Medicine, LLRM Medical College, Meerut.

The Journal of the Association of Physicians of India
|October 1, 1990
PubMed
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This study investigated pyogenic meningitis cases, identifying Staphylococcus aureus, pneumococci, and meningococci as common causes. Poor prognostic factors included advanced age, coma, shock, and specific cerebrospinal fluid (CSF) levels.

Area of Science:

  • Clinical Microbiology
  • Infectious Diseases
  • Neurology

Background:

  • Pyogenic meningitis remains a significant cause of morbidity and mortality worldwide.
  • Early diagnosis and appropriate treatment are crucial for improving patient outcomes.

Purpose of the Study:

  • To analyze the demographic, clinical, and microbiological features of pyogenic meningitis cases.
  • To identify factors associated with a poor prognosis in patients with pyogenic meningitis.

Main Methods:

  • Retrospective analysis of 50 patients diagnosed with pyogenic meningitis.
  • Cerebrospinal fluid (CSF) analysis, including Gram staining and culture.
  • Correlation of clinical presentation and CSF parameters with patient outcomes.

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Main Results:

  • The majority of cases (70%) occurred in individuals aged 15-25 years, with a male predominance (5:1 ratio).
  • Commonly identified pathogens included Staphylococcus aureus (12 cases), Streptococcus pneumoniae (9 cases), and Neisseria meningitidis (8 cases).
  • Thirteen patients died; poor prognostic indicators included advanced age, coma, shock, low CSF glucose (<10 mg/dl), high CSF protein (>750 mg/dl), and Gram-negative organisms in CSF.

Conclusions:

  • Pyogenic meningitis predominantly affects young adults, with S. aureus, pneumococci, and meningococci being key causative agents.
  • Specific clinical and CSF parameters are critical for predicting patient outcomes and guiding management strategies.