مننژیت مزمن: یک معمای تشخیصی
کد: G-1120
نویسندگان: Mahboubeh Haddad © ℗
زمان بندی: زمان بندی نشده!
دانلود: دانلود پوستر
خلاصه مقاله:
خلاصه مقاله
Chronic meningitis: a diagnostic dilemma Chronic meningitis is defined as the presence of neurological symptoms in combination with cerebrospinal fluid pleocytosis for more than 4 weeks. In many cases, it presents a diagnostic dilemma. The differential diagnosis includes a wide range of infectious and non-infectious etiologies, such as autoimmune diseases and malignancies. The burden of illness is high. For example, the estimated mortality rate for tuberculous meningitis as an infectious etiology is about 20% to 42% in hospitalized patients. In a study, we evaluated hospitalized adult patients with subacute and chronic meningitis in Mashhad, Iran. Among 183 episodes, tuberculous and brucella meningitis were identified as the most common infectious causes respectively, but in about 25% of cases the etiology was unknown. In-hospital mortality rate was about 14.5% and unfavorable outcome occurred in 30.5% based on the Glasgow outcome scale. Our study highlighted the importance of improving diagnostic strategies to enhance the prognosis and reduce mortality. Also, we should consider a case-based approach in addition to algorithmic method for prompt, accurate and in-time diagnosis of subacute and chronic meningitis.
کلمات کلیدی
Chronic meningitis, infectious etiology, Tuberculous, Brucella, outcome, mortality
