Characteristics of Meningitis with or without Enterovirus.
10.26815/jkcns.2018.26.4.246
- Author:
Won Je CHO
1
;
Ye Rim KWON
;
Byung Ho CHA
Author Information
1. Department of Pediatrics, Yonsei Wonju Severance Christian Hospital, Wonju, Korea. cha12bho@yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Aseptic meningitis;
Children;
Enterovirus
- MeSH:
Bacterial Infections;
Cerebrospinal Fluid;
Child;
Demography;
Enterovirus*;
Gangwon-do;
Headache;
Humans;
Leukocytosis;
Male;
Medical Records;
Meningitis*;
Meningitis, Aseptic;
Prognosis;
Retrospective Studies;
Seizures
- From:
Journal of the Korean Child Neurology Society
2018;26(4):246-250
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Meningitis is an acute childhood infection caused by viral or bacterial infection. The purpose of the present study is to analyze the differences between enteroviral meningitis and non-enteroviral aseptic meningitis. METHODS: From January 2013 to December 2016, we retrospectively reviewed the medical records of a total of 303 aseptic meningitis patients who visited Wonju Severance Christian Hospital. We examined demographics of all patients and analyzed serologic and cerebrospinal fluid tests, clinical symptoms, and outcomes. RESULTS: Of a total of 303 patients, 197(65.0%) were male, and the most cases occurred from June to November (91.8%). The most common pathogen of meningitis was found to be enterovirus (65.0%). According to the etiology, the enteroviral meningitis group had significantly more headache and enteric symptoms (P=0.0003 and P=0.0013, respectively). Furthermore, the non-enteroviral meningitis group showed pleocytosis in the cerebrospinal fluid and a significantly higher rate of seizure at 1 to 4 years (P=0.0360 and P=0.0002, respectively). CONCLUSION: In this study, enteroviral meningitis was the most common and the prognosis was good. When compared between two groups, neurological symptoms were frequent in patients with non-enteroviral meningitis in groups 1 to 4 years.
