Comparison of Scrub Typhus Meningitis with Acute Bacterial Meningitis and Tuberculous Meningitis
Loading...
Date
2018-01
Journal Title
Journal ISSN
Volume Title
Publisher
Indian Academy of Pediatrics
Abstract
Objective: To compare scrub typhus meningitis with bacterial and tuberculous meningitis.Methods: Children aged<15 years admitted with meningitis were screened and those who fitcriteria for diagnosis of scrub typhus meningitis (n=48), bacterial meningitis (n=44) andtuberculous meningitis (n=31) were included for analysis. Clinical features, investigationsand outcomes were compared between the three types of meningitis. Results: Mean age,duration of fever at presentation, presence of headache and, altered sensorium and presenceof hepatomegaly/splenomegaly were statistically significantly different between the groups.Scrub typhus had statistically significant thrombocytopenia, shorter hospital stay and a betterneurological and mortality outcome. Conclusions: Sub-acute presentation of meningitis inolder age group children, and good outcome is associated with scrub typhus when comparedto bacterial and tuberculous meningitis
Description
Keywords
Encephalopathy, Outcome, Presentation, Rickettsial infections
Citation
Kakarlapudi Raju, Chacko Anila, Samuel Prasanna, Verghese Valsan Philip, Rose Winsley. Comparison of Scrub Typhus Meningitis with Acute Bacterial Meningitis and Tuberculous Meningitis. Indian Pediatrics. 2018 Jan; 55(1): 35-37