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Recurrent meningitis in children

Ejaz Ahmed Khan1, Shehla Choudhry, Muhammad Roohullah

  • 1Department of Paediatrics, Shifa International Hospital, Islamabad.

JPMA. the Journal of the Pakistan Medical Association
|July 31, 2013
PubMed

Insights

Recurrent meningitis in children can lead to serious complications. This study highlights the clinical features, causes, and outcomes of pediatric recurrent meningitis, emphasizing the need for prompt diagnosis and management.

Area of Science:

  • Pediatrics
  • Neurology
  • Infectious Diseases

Background:

  • Recurrent meningitis in children is a rare but serious condition.
  • It carries a significant risk of acute complications and long-term neurological deficits.

Purpose of the Study:

  • To analyze the clinical presentation, predisposing factors, treatment, and outcomes of pediatric recurrent meningitis.
  • To identify key characteristics of recurrent meningitis in children.

Main Methods:

  • Retrospective case series.
  • Inclusion of children with recurrent meningitis admitted between December 2006 and May 2011.
  • Analysis of clinical data, diagnostic imaging (CT, MRI), and cerebrospinal fluid (CSF) analysis.

Main Results:

  • Eight children (mean age 6 years, 87% males) were included.
  • Average of 4 episodes per patient; common symptoms included fever, vomiting, seizures, and headache.
  • Etiology identified via CSF, CT, and MRI; half had a history of head trauma.
  • All patients responded to antibiotics; 6 required surgery.
  • 25% experienced neurological impairment on follow-up.

Conclusions:

  • Recurrent meningitis in children requires thorough etiological investigation.
  • Prompt antibiotic treatment is crucial, with surgery indicated in some cases.
  • Long-term neurological impairment is a significant concern, necessitating ongoing monitoring.

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