Hyponatraemia in adults with community-acquired bacterial meningitis

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Hyponatraemia in adults with community-acquired bacterial meningitis.

BACKGROUND Hyponatraemia in adults with bacterial meningitis has been described as a common complication, but its true prevalence and clinical importance are unknown. AIM To investigate the prevalence, clinical characteristics and consequences of hyponatraemia in bacterial meningitis in adults. DESIGN Nationwide observational cohort study. METHODS We prospectively assessed the prevalence ...

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Community-acquired bacterial meningitis in adults.

We reviewed the charts of all patients > or = 15 years of age or older in whom community acquired-bacterial meningitis was diagnosed at Srinagarind Hospital, Khon Kaen, Thailand from 1984 through 1998. Eighty-five patients were included in this study. The clinical manifestation was acute meningitis with CSF neutrophilic pleocytosis and low glucose content. Gram's staining of CSF was positive in...

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Risk factors for community-acquired bacterial meningitis in adults.

Bacterial meningitis is a life-threatening infectious disease with high mortality and disability rates, despite availability of antibiotics and adjunctive therapy with dexamethasone. Several risk factors and predisposing conditions have been identified that increase susceptibility for bacterial meningitis. Such risk factors can consist of medical conditions resulting in immunodeficiency, host g...

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Community-Acquired Bacterial Meningitis in Alcoholic Patients

BACKGROUND Alcoholism is associated with susceptibility to infectious disease, particularly bacterial pneumonia. In the present study we described characteristics in alcoholic patients with bacterial meningitis and delineate the differences with findings in non-alcoholic adults with bacterial meningitis. METHODS/PRINCIPAL FINDINGS This was a prospective nationwide observational cohort study i...

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Hyponatraemia associated with pneumonia or bacterial meningitis.

Serum sodium concentrations were measured in 93 children with pneumonia or bacterial meningitis on their admission to hospital. Hyponatraemia (sodium value 134 mmol/l or less) was present in 33 (45%) of the 73 children with pneumonia, and in 10 (50%) of the 20 children with bacterial meningitis. Increased secretion of antidiuretic hormone is common in children with pneumonia, as well as in chil...

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ژورنال

عنوان ژورنال: QJM

سال: 2006

ISSN: 1460-2725,1460-2393

DOI: 10.1093/qjmed/hcl131