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The clinical presentation of acute bacterial meningitis varies with age, sex and duration of illness
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.ORCID iD: 0000-0001-9885-2321
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics. (Arcum)
2015 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, no 11, 1117-1124 p.Article in journal (Refereed) Published
Abstract [en]

AIM: This Swedish study reviewed differences in clinical presentation and laboratory findings of acute bacterial meningitis in children aged one month to 17 years in Vasterbotten County, Sweden. METHODS: A register-based study was performed for the period 1986 to 2013 using the Vasterbotten County Council's patient registration and laboratory records at the Department of Laboratory Medicine at Umea University Hospital. The medical records were reviewed to extract data and confirm the diagnosis. RESULTS: We found 103 cases of acute bacterial meningitis, and Haemophilus influenzae was the most common pathogen, causing 40.8% of all cases, followed by Streptococcus pneumoniae at 30.1% and Neisseria meningitidis at 9.7%. Significant differences in clinical presentation and laboratory findings were found. Younger children were more unwell than older ones and had more diffuse symptoms on admission. In addition, important sex-related differences were found that might explain the higher case fatality rates for boys than girls. For example, boys tended to have a higher disturbance in the blood-brain barrier, which is known to be a negative prognostic factor. CONCLUSION: This study showed that clinical presentation for acute bacterial meningitis varied with age and sex and, to a lesser extent, on the duration of the illness.

Place, publisher, year, edition, pages
2015. Vol. 104, no 11, 1117-1124 p.
Keyword [en]
Bacterial meningitis Blood-brain barrier Clinical presentation Haemophilus influenzae laboratory diagnosis
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:umu:diva-109611DOI: 10.1111/apa.13149ISI: 000363866200025PubMedID: 26421681Scopus ID: 2-s2.0-84945123466OAI: oai:DiVA.org:umu-109611DiVA: diva2:858348
Available from: 2015-10-01 Created: 2015-10-01 Last updated: 2017-12-01Bibliographically approved

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Johansson Kostenniemi, UrbanSilfverdal, Sven Arne

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