Prevalence of Enterovirus Meningitis in Children: Report from a Tertiary Center

Izadi Anahita1, Rahbarimanesh Ali Akbar1, Mojtahedi Yousef1

  • 1Bahrami Children Hospital, Tehran University of Medical Science, Tehran, Iran.

Maedica
|December 21, 2018
PubMed

Insights

Enteroviruses, including Coxsackievirus and echovirus, are common causes of meningitis in Iranian children. Prompt diagnosis of these viral meningitis cases is crucial for effective treatment.

Area of Science:

  • Virology
  • Pediatric Infectious Diseases
  • Neurology

Background:

  • Meningitis is a frequent central nervous system infection, with viruses being the most common etiologic agents.
  • Enteroviruses represent a significant group of viral pathogens responsible for meningitis.

Purpose of the Study:

  • To investigate the prevalence of Coxsackievirus and echovirus infections in children diagnosed with meningitis.
  • To identify specific enterovirus types and their clinical associations in pediatric meningitis cases.

Main Methods:

  • A retrospective study evaluated 40 children with meningitis admitted to Bahrami Hospital between January 2017 and February 2018.
  • Data collected included patient demographics, clinical presentation, and causative viral agents.

Main Results:

  • Enteroviruses were identified in 65% of cases (26/40), with Coxsackievirus B5 (18 cases) and B4 (2 cases) being predominant.
  • Echoviruses accounted for 30% (6 cases) of the enterovirus-related meningitis.
  • Fever (100%) and nausea/vomiting (69.2%) were the most common symptoms associated with enteroviral meningitis.

Conclusions:

  • Enteroviruses are a major cause of viral meningitis in Iranian children.
  • The findings highlight the importance of early and accurate diagnosis for timely management of pediatric meningitis.

Related Concept Videos

Prevalence and Incidence01:08

Prevalence and Incidence

In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
1.8K
Tertiary Healthcare System01:21

Tertiary Healthcare System

Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
2.2K
Cranial and Spinal Meninges01:19

Cranial and Spinal Meninges

The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
4.0K
Nomenclature of Secondary and Tertiary Amines01:12

Nomenclature of Secondary and Tertiary Amines

The secondary and tertiary amines are derivatives of ammonia, where two and three of its hydrogens are replaced by alkyl groups, respectively. Secondary and tertiary amines can be symmetrical with identical alkyl groups attached to the nitrogen atom or unsymmetrical when more than one type of alkyl group is present. The standard nomenclature of secondary and tertiary amines is similar to the names given to the primary amines. They are generally named alkylamines. As depicted in Figure 1, for...
5.2K
Lattice Centering and Coordination Number02:33

Lattice Centering and Coordination Number

The structure of a crystalline solid, whether a metal or not, is best described by considering its simplest repeating unit, which is referred to as its unit cell. The unit cell consists of lattice points that represent the locations of atoms or ions. The entire structure then consists of this unit cell repeating in three dimensions. The three different types of unit cells present in the cubic lattice are illustrated in Figure 1.
Types of Unit Cells
Imagine taking a large number of identical...
11.6K
Center of Gravity00:58

Center of Gravity

The center of gravity (COG) of an object is the point where the object's total weight is considered to be concentrated. Knowing the location of the center of gravity is useful when predicting the behavior of a moving object or designing static structures. In a uniform gravitational field, the center of gravity is similar to the center of mass (COM); yet, these two points can be positioned differently. For example, the Moon's center of mass lies very close to its geometric center, but...
6.7K