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Published on: July 24, 2016
Descriptive analysis of viral meningitis in a general hospital: differences in the characteristics between children
P E Jiménez Caballero1, F Muñoz Escudero, S Murcia Carretero
1Servicio de Neurología, Hospital Virgen de la Salud, Toledo, España. pjimenez1010j@yahoo.es
Insights
Viral meningitis is more common in males during summer, with enterovirus as the primary cause. While symptoms are similar, children experience shorter hospital stays and higher systemic inflammation compared to adults.
Area of Science:
- Infectious Diseases
- Epidemiology
- Clinical Neurology
Background:
- Viral meningitis is a significant cause of central nervous system infection.
- Understanding its clinical and epidemiological patterns is crucial for public health.
- Age-related differences in presentation and outcomes require further investigation.
Purpose of the Study:
- To identify the clinical and epidemiological characteristics of viral meningitis.
- To analyze age-specific differences in viral meningitis presentation and management.
- To determine the most common causative agents in the study population.
Main Methods:
- Retrospective study of viral meningitis admissions between 2000 and 2008.
- Comparison of clinical and epidemiological data between pediatric (<15 years) and adult (≥15 years) groups.
- Analysis of laboratory findings, including cerebrospinal fluid (CSF) analysis.
Main Results:
- Viral meningitis predominantly affects males and occurs more frequently during summer months.
- Enterovirus is the most frequently identified causative agent.
- Children present with shorter onset times and shorter hospital stays, exhibiting greater systemic inflammation but lower CSF abnormalities compared to adults.
Conclusions:
- Viral meningitis exhibits seasonal and gender predilections, with enteroviruses being common pathogens.
- Clinical presentation is broadly similar across age groups, but children have shorter hospitalizations.
- Age influences inflammatory markers, with children showing higher systemic inflammation and adults more pronounced CSF anomalies, potentially due to earlier diagnostic procedures in children.
Introduction And Objectives:
our study aims to identify the clinical and epidemiological characteristics of viral meningitis in our environment and observe the differences with age.
Material And Methods:
retrospective study of viral meningitis that required admission to our hospital between 2000 and 2008. We compare characteristics between groups of children (under 15 years) and adults (15 years or older). Results. The viral meningitis prevalent in males, is higher during the summer months and the agent most involved is enterovirus. Children are seen in the hospital with shorter time of onset and their average stay is less. In children, the analytical data show greater systemic disorder, whilst in adults the in the cerebrospinal fluid anomalies are more important.
Conclusions:
the viral meningitis in our environment is more common in males and in summer months. The clinical presentation and prodrome is similar in children and adults, although the average hospital stay is less in children of this age probably because the clinical outcome is shorter. The analytical data show that children have a higher systemic inflammation but lower CSF level, probably because lumbar puncture is performed earlier than in adults. Enteroviruses are common pathogens in both children and adults.
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