Pattern of childhood meningitis in Oman

Roshan L. Koul, Alexander Chacko

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To see the pattern of various types of childhood (below 14 years) meningitis at Sultan Qaboos University hospital. Methods: Medical records of children with diagnosis of meningitis, encephalitis, febrile convulsions and encephalopathies were reviewed. The diagnosis was based on clinical features and cerebro spinal fluid findings. Results: Eight five cases of meningitis were seen in a tertiary hospital over a period of 5 years. Seventy six cases (89.4%) were purulent meningitis, seven (8.2%) were aseptic meningitis and 2.3% had fungal meningitis. Recurrent meningitis was observed in four cases (4.7%). There was no case of tuberculous meningitis. Eighty three percent (82.9%) cases of purulent meningitis were under 2 years of age. Sex distribution was almost equal in them (39 males, 37 females) with the mean age at presentation being 15.7 months and 20.6 months respectively. Twenty cases (28.2%) had positive cerebrospinal fluid culture, 35% being Hemophilus influenza type b. Forty eight percent cases received 10 days of antibiotics and 18.4% more than 14 days. Third generation cephalosporins were used in 76.3% cases, while penicillins in 32.9%. Twenty eight (36.8%) cases had Computerized Tomography scan of the brain and 20 (71.4%) were abnormal. There were 3 deaths, one each of Hib, Streptococcus pneumonia meningitis and Cryptococcus neoforman meningitis. Conclusion: Purulent meningitis was the most common type (89.4%) and 83% were below 2 years age. There was no case of tuberculous meningitis.

Original languageEnglish
Pages (from-to)432-436
Number of pages5
JournalSaudi Medical Journal
Volume19
Issue number4
Publication statusPublished - 1998

Fingerprint

Oman
Meningitis
Haemophilus influenzae type b
Meningeal Tuberculosis
Cerebrospinal Fluid
Fungal Meningitis
Pneumococcal Meningitis
Aseptic Meningitis
Febrile Seizures
Sex Distribution
Cryptococcus neoformans
Encephalitis
Cephalosporins
Tertiary Care Centers
Penicillins
Medical Records
Tomography
Anti-Bacterial Agents

Keywords

  • Aseptic recurrent
  • Bacterial
  • Children
  • Hospital
  • Meningitis
  • Oman

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Pattern of childhood meningitis in Oman. / Koul, Roshan L.; Chacko, Alexander.

In: Saudi Medical Journal, Vol. 19, No. 4, 1998, p. 432-436.

Research output: Contribution to journalArticle

Koul, RL & Chacko, A 1998, 'Pattern of childhood meningitis in Oman', Saudi Medical Journal, vol. 19, no. 4, pp. 432-436.
Koul, Roshan L. ; Chacko, Alexander. / Pattern of childhood meningitis in Oman. In: Saudi Medical Journal. 1998 ; Vol. 19, No. 4. pp. 432-436.
@article{cd098514c049481aa0f35c9125360070,
title = "Pattern of childhood meningitis in Oman",
abstract = "Objective: To see the pattern of various types of childhood (below 14 years) meningitis at Sultan Qaboos University hospital. Methods: Medical records of children with diagnosis of meningitis, encephalitis, febrile convulsions and encephalopathies were reviewed. The diagnosis was based on clinical features and cerebro spinal fluid findings. Results: Eight five cases of meningitis were seen in a tertiary hospital over a period of 5 years. Seventy six cases (89.4{\%}) were purulent meningitis, seven (8.2{\%}) were aseptic meningitis and 2.3{\%} had fungal meningitis. Recurrent meningitis was observed in four cases (4.7{\%}). There was no case of tuberculous meningitis. Eighty three percent (82.9{\%}) cases of purulent meningitis were under 2 years of age. Sex distribution was almost equal in them (39 males, 37 females) with the mean age at presentation being 15.7 months and 20.6 months respectively. Twenty cases (28.2{\%}) had positive cerebrospinal fluid culture, 35{\%} being Hemophilus influenza type b. Forty eight percent cases received 10 days of antibiotics and 18.4{\%} more than 14 days. Third generation cephalosporins were used in 76.3{\%} cases, while penicillins in 32.9{\%}. Twenty eight (36.8{\%}) cases had Computerized Tomography scan of the brain and 20 (71.4{\%}) were abnormal. There were 3 deaths, one each of Hib, Streptococcus pneumonia meningitis and Cryptococcus neoforman meningitis. Conclusion: Purulent meningitis was the most common type (89.4{\%}) and 83{\%} were below 2 years age. There was no case of tuberculous meningitis.",
keywords = "Aseptic recurrent, Bacterial, Children, Hospital, Meningitis, Oman",
author = "Koul, {Roshan L.} and Alexander Chacko",
year = "1998",
language = "English",
volume = "19",
pages = "432--436",
journal = "Saudi Medical Journal",
issn = "0379-5284",
publisher = "Saudi Arabian Armed Forces Hospital",
number = "4",

}

TY - JOUR

T1 - Pattern of childhood meningitis in Oman

AU - Koul, Roshan L.

AU - Chacko, Alexander

PY - 1998

Y1 - 1998

N2 - Objective: To see the pattern of various types of childhood (below 14 years) meningitis at Sultan Qaboos University hospital. Methods: Medical records of children with diagnosis of meningitis, encephalitis, febrile convulsions and encephalopathies were reviewed. The diagnosis was based on clinical features and cerebro spinal fluid findings. Results: Eight five cases of meningitis were seen in a tertiary hospital over a period of 5 years. Seventy six cases (89.4%) were purulent meningitis, seven (8.2%) were aseptic meningitis and 2.3% had fungal meningitis. Recurrent meningitis was observed in four cases (4.7%). There was no case of tuberculous meningitis. Eighty three percent (82.9%) cases of purulent meningitis were under 2 years of age. Sex distribution was almost equal in them (39 males, 37 females) with the mean age at presentation being 15.7 months and 20.6 months respectively. Twenty cases (28.2%) had positive cerebrospinal fluid culture, 35% being Hemophilus influenza type b. Forty eight percent cases received 10 days of antibiotics and 18.4% more than 14 days. Third generation cephalosporins were used in 76.3% cases, while penicillins in 32.9%. Twenty eight (36.8%) cases had Computerized Tomography scan of the brain and 20 (71.4%) were abnormal. There were 3 deaths, one each of Hib, Streptococcus pneumonia meningitis and Cryptococcus neoforman meningitis. Conclusion: Purulent meningitis was the most common type (89.4%) and 83% were below 2 years age. There was no case of tuberculous meningitis.

AB - Objective: To see the pattern of various types of childhood (below 14 years) meningitis at Sultan Qaboos University hospital. Methods: Medical records of children with diagnosis of meningitis, encephalitis, febrile convulsions and encephalopathies were reviewed. The diagnosis was based on clinical features and cerebro spinal fluid findings. Results: Eight five cases of meningitis were seen in a tertiary hospital over a period of 5 years. Seventy six cases (89.4%) were purulent meningitis, seven (8.2%) were aseptic meningitis and 2.3% had fungal meningitis. Recurrent meningitis was observed in four cases (4.7%). There was no case of tuberculous meningitis. Eighty three percent (82.9%) cases of purulent meningitis were under 2 years of age. Sex distribution was almost equal in them (39 males, 37 females) with the mean age at presentation being 15.7 months and 20.6 months respectively. Twenty cases (28.2%) had positive cerebrospinal fluid culture, 35% being Hemophilus influenza type b. Forty eight percent cases received 10 days of antibiotics and 18.4% more than 14 days. Third generation cephalosporins were used in 76.3% cases, while penicillins in 32.9%. Twenty eight (36.8%) cases had Computerized Tomography scan of the brain and 20 (71.4%) were abnormal. There were 3 deaths, one each of Hib, Streptococcus pneumonia meningitis and Cryptococcus neoforman meningitis. Conclusion: Purulent meningitis was the most common type (89.4%) and 83% were below 2 years age. There was no case of tuberculous meningitis.

KW - Aseptic recurrent

KW - Bacterial

KW - Children

KW - Hospital

KW - Meningitis

KW - Oman

UR - http://www.scopus.com/inward/record.url?scp=0031692854&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031692854&partnerID=8YFLogxK

M3 - Article

VL - 19

SP - 432

EP - 436

JO - Saudi Medical Journal

JF - Saudi Medical Journal

SN - 0379-5284

IS - 4

ER -