ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Tuberculosis Meningitis:review Of 38 Cases
Emel TÜRK ARIBAŞ*, Abdullah YILMAZ**, İbrahim ERAYMAN***, Mehmet BİTİRGEN****
* Doç.Dr.,Selçuk Üniversitesi Tıp Fakültesi Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji AD,** Dr.,Selçuk Üniversitesi Tıp Fakültesi Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji AD,*** Uz.Dr.,Selçuk Üniversitesi Tıp Fakültesi Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji AD,**** Prof.Dr.,Selçuk Üniversitesi Tıp Fakültesi Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji AD, KONYA
Among extrapulmonary tuberculosis forms, tuberculosis meningitis having a rapid progress, high mortality and permanent neurological sequales, is actually a important central nervous system infection. Therefore, early diagnosis and therapy is very important.
In this study, between 1993-1998 years, 38 tuberculosis meningitis patients hospitalized in our clinic ,were evaluated retrospectively about history, clinical and laboratory findings. 28.9% of the patients were between 15-25 years, 44.7% of the patients were between 25 and 45, and 26.3% of them were 45 years old and older. In admission to the clinic ,the patients with tuberculosis meningitis were classified as stage I (13%), stage II (52.6%) and stage III (34.2%) meningitis. Among the 38 patients, in 15 individual (39.4%) the complaints begin 2 weeks or earlier and in 9 of them (23.6%) 3-7 days ago, in the investigation of cerebro spinal fluid, the staining with Erlich-Ziehl Nielsen and directly microscopically findings showed 13 (34.2%) ARB (acid resistant bacilli) positivity, and in only 2 cases Mycobacterium tuberculosis were isolated in cultured media. In 4 cases (10.5%) there were evidence of active or previous tuberculosis. 5 (13.1%) of the 38 patients recovered with permanent sequale and 5(13.1%) of them died.Keywords: M.tuberculosis, meningitisTurkiye Klinikleri J Med Sci 1998, 18:156-160
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