A Review of Tuberculous Meningitis in a Canadian Pediatric Hospital
Tuberculous meningitis is a disease associated with high morbidity and mortality. Experience with this disease at the Hospital for Sick Children in Toronto was reviewed to determine whether changes in prognosis have occurred in the past decade. All patients from whom the organism was recovered from...
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| Format: | Article |
| Language: | English |
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Wiley
1991-01-01
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| Series: | Canadian Journal of Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/1991/638031 |
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| _version_ | 1850218627613065216 |
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| author | Lissette Navas Elaine Wang |
| author_facet | Lissette Navas Elaine Wang |
| author_sort | Lissette Navas |
| collection | DOAJ |
| description | Tuberculous meningitis is a disease associated with high morbidity and mortality. Experience with this disease at the Hospital for Sick Children in Toronto was reviewed to determine whether changes in prognosis have occurred in the past decade. All patients from whom the organism was recovered from the cerebrospinal fluid, or who had a positive Mantoux test in association with a compatible history, were included. Thirteen patients were identified from 1978 to 1989. The median age was six years (range 11 months to 17.5 years). Nine patients were born in Canada, but all except one were members of recently immigrant families. History of close contact with an adult with tuberculosis, or travel to an endemic area in the preceding six months, was present in seven cases. All patients had clinical manifestations and mild pleocytosis with elevated protein content in the cerebrospinal fluid. Patients were all diagnosed within 20 days after admission (median one day). Computed tomography scan of the head was abnormal in all patients within three weeks of admission. No patient died, although long term sequelae developed in five. The prognosis of tuberculous meningitis has improved in the past decade. Although a specific reason for this improvement cannot be definitively stated, earlier diagnosis and better chemotherapy may contribute. |
| format | Article |
| id | doaj-art-31ef36596a13463580b84d692c2791a9 |
| institution | OA Journals |
| issn | 1180-2332 |
| language | English |
| publishDate | 1991-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Infectious Diseases |
| spelling | doaj-art-31ef36596a13463580b84d692c2791a92025-08-20T02:07:40ZengWileyCanadian Journal of Infectious Diseases1180-23321991-01-012415516010.1155/1991/638031A Review of Tuberculous Meningitis in a Canadian Pediatric HospitalLissette Navas0Elaine Wang1Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaDivision of Infectious Disease, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, CanadaTuberculous meningitis is a disease associated with high morbidity and mortality. Experience with this disease at the Hospital for Sick Children in Toronto was reviewed to determine whether changes in prognosis have occurred in the past decade. All patients from whom the organism was recovered from the cerebrospinal fluid, or who had a positive Mantoux test in association with a compatible history, were included. Thirteen patients were identified from 1978 to 1989. The median age was six years (range 11 months to 17.5 years). Nine patients were born in Canada, but all except one were members of recently immigrant families. History of close contact with an adult with tuberculosis, or travel to an endemic area in the preceding six months, was present in seven cases. All patients had clinical manifestations and mild pleocytosis with elevated protein content in the cerebrospinal fluid. Patients were all diagnosed within 20 days after admission (median one day). Computed tomography scan of the head was abnormal in all patients within three weeks of admission. No patient died, although long term sequelae developed in five. The prognosis of tuberculous meningitis has improved in the past decade. Although a specific reason for this improvement cannot be definitively stated, earlier diagnosis and better chemotherapy may contribute.http://dx.doi.org/10.1155/1991/638031 |
| spellingShingle | Lissette Navas Elaine Wang A Review of Tuberculous Meningitis in a Canadian Pediatric Hospital Canadian Journal of Infectious Diseases |
| title | A Review of Tuberculous Meningitis in a Canadian Pediatric Hospital |
| title_full | A Review of Tuberculous Meningitis in a Canadian Pediatric Hospital |
| title_fullStr | A Review of Tuberculous Meningitis in a Canadian Pediatric Hospital |
| title_full_unstemmed | A Review of Tuberculous Meningitis in a Canadian Pediatric Hospital |
| title_short | A Review of Tuberculous Meningitis in a Canadian Pediatric Hospital |
| title_sort | review of tuberculous meningitis in a canadian pediatric hospital |
| url | http://dx.doi.org/10.1155/1991/638031 |
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