2009, Number 2
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Residente 2009; 4 (2)
Meningitis bacteriana aguda. Mitos y realidades de una urgencia neurológica
Orrego-Castellanos H, Merlos BM
Language: Spanish
References: 17
Page: 41-46
PDF size: 125.57 Kb.
ABSTRACT
Bacterial meningitis is a neurological emergency which brooks no delay in its approach and initiation of treatment, since it largely depends mortality and sequelae. Despite the increased availability of effective antibiotics, improved hospital facilities and advances in treatment strategies, for example, the use of dexamethasone, mortality rates associated with this disease remains unacceptably high. Therefore, we propose to present some evidence for clinical decision making on management of bacterial meningitis, we also intentionally overlooked aspects already clarified about this topic.
REFERENCES
Weisfelt M, van de Beek D, Spanjaard L, Reitsma JB, de Gans J. Clinical features, complications, and outcome in adults with pneumococcal meningitis: a prospective case series. Lancet Neurol 2006; 5: 123-129.
Kastenbauer S, Pfi ster HW. Pneumococcal meningitis in adults: spectrum of complications and prognostic factors in a series of 87 cases. Brain 2003; 126: 1015-1025.
Mai NT, Chau TT, Thwaites G et al. Dexamethasone in Vietnamese adolescents and adults with bacterial meningitis. N Engl J Med 2007; 357: 2431-2440.
Brody IA, Wilkins RH. The signs of Kernig and Brudzinski. Arch Neurol 1969; 21: 215-218.
Kernig W. Ueber ein Wenig bemerktes Meningitis Symptom. Berl Klin Wochenschr 1884: 21: 829-832.
Brudzinski J. Un signe nouveau sur les membres inferieurs dans les meningites chez les enfants (signe de la nuque). Arch Med Enfants 1909; 1991: 745-752.
Attia J, Hatala R, Cook DJ, Wong JG. The rational clinical examination: does this adult patient have acute meningitis? JAMA 1999; 282: 175-181.
Uchihara T, Tsukagoshi H. Jolt accentuation of headache: the most sensitive sign of CSF pleocitosis. Headache 1991; 31: 167-171.
Aronin SI, Peduzzi P, Quagliarello VJ. Community-acquired bacterial meningitis: risk stratification for adverse clinical outcome and effect of antibiotic timing. Ann Intern Med 1998; 129: 862-869.
Korein J, Cravisto H, Leicach M. Reevaluation of lumbar puncture: a study of 129 patients with papilledema or intracranial hypertension. Neurology 1959; 9: 290-297.
Horwitz SJ, Boxerbaum B, O’Bell J. Cerebral herniation in bacterial meningitis in childhood. Ann Neurol 1980; 7: 524-528.
Tunkel A, Hartman B, Kaplan S, Kaufman B, Roos K, Scheld W, Whitley R. Practice Guidelines for the Management of Bacterial Meningitis. Clinical Infectious Diseases 2004; 39: 1267-1284.
Hasbun R, Abrahams J, Jekel J, Quagliarello VJ. Computed tomography of the head before lumbar puncture in adults with suspected meningitis. N Engl J Med 2001; 345: 1727-1733.
McCracken GH Jr, Sarff LD. Endotoxin in cerebrospinal fluid: detection in neonates with bacterial meningitis. JAMA 1976; 235: 617-620.
Ni H, Knight AI, Cartwright K et al. Polymerase chain reaction for diagnosis of meningococcal meningitis. Lancet 1992; 340: 1432-1434.
de Gans J, van de Beek D. Dexamethasone in adults with bacterial meningitis. N Engl J Med 2002; 347(20): 1549-1556.
van de Beek D, de Gans J, McIntyre P, Prasad K. Steroids in adults with acute bacterial meningitis: a systematic review. Lancet Infect Dis 2004; 4(3): 139-143.