mycoplasma pneumonia in cerebrospinal fluids of febrile children with neurologic manifestations: a cross sectional study, tehran, iran

نویسندگان

samileh noorbakhsh research center of pediatric infectious diseases, tehran university of medical sciences, tehran, ir iran; research center of pediatric infectious diseases, 4th floor, hazrat rasul hospital, niayesh street, satarkhan avenue, tehran, ir iran. tel: +98-2166525328, fax: +98-2166516049

vida zarabi research center of pediatric infectious diseases, tehran university of medical sciences, tehran, ir iran

ahmad reza shamshiri school of public health, tehran university of medical sciences, tehran, ir iran

azardokht tabatabaei research center of pediatric infectious diseases, tehran university of medical sciences, tehran, ir iran

چکیده

conclusions: even, very low amount of csf-igg with good specificity (90%); could differentiate cases and controls (p = 0.000). the csf-igg test (sensitivity 70%, npv 28.8%) was weak for ruling out the m. pneumonia in cases. positive pcr was rare (2%) in csf of cases and controls but is more reliable for diagnosing the recent m. pneumonia infection. we prefer to assay the csf for both serology and pcr in highly suspicious cases. anti-microbial or immune modulating therapies had possible benefits. results: positive pcr found in 1 case with guillan barre syndrome (1/53; 2%) and none of controls; igg-csf level (cut off 0.0025) had significant difference between cases and controls (kappa = 0.27, p value = 0.000). the lowest and highest igg level observed in aseptic meningitis, and convulsive cases respectively. 73% sensitivity; 90% specificity; 100% variance (ppv); 28.8% net present value (npv) determined for igg-csf test. materials and methods: this cross sectional study was done in pediatric wards of rasoul hospital in tehran between 2008 - 2010 upon 55 febrile cases with neurological signs and 10 controls with normal csf (simple febrile seizure). the csf samples tested for m. pneumonia dna (pcr); and immune globulin g (igg) level. chi square values < 0.05 were considered statistically significant. background: the clinical spectrum of mycoplasma pneumoniae cns diseases had a wide range. encephalitis and meningoencephalitis are the most frequent neurological manifestations, but cases of optic neuritis, transverse myelitis, guillain-barré syndrome (gbs), etc. have been reported objectives: to determine the role of m. pneumonia (using pcr and serologically test) in cerebro spinal fluid (csf) in febrile children with neurologic manifestations (in comparison with normal csf).

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عنوان ژورنال:
jundishapur journal of microbiology

جلد ۶، شماره ۹، صفحات ۰-۰

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