Open AccessTuberculous Meningitis at the Department of Child Health Dr. Pirngadi Hospital, Medan
Author(s) -
S Tambunan,
Adi Sutjipto,
Riste Saat,
Noeriman Aj,
Hairani Siregar,
Bistok Saing
Publication year - 2019
Publication title -
paediatrica indonesiana
Language(s) - English
Resource type - Journals
eISSN - 2338-476X
pISSN - 0030-9311
DOI - 10.14238/pi32.7-8.1992.190-7
Subject(s) - medicine , pediatrics , incidence (geometry) , tuberculous meningitis , meningitis , malnutrition , case fatality rate , stage (stratigraphy) , tuberculosis , epidemiology , paleontology , physics , pathology , optics , biology
Tuberculous meningitis was studied descriptively in 167 cases (1 .19%) of 14082 hospitalized patients at the Department of Child Health Dr. Pirngadi Hospital, Medan in a period of the years 1985 to 1989.
The highest incidence was in the age group of under 3 years (46.11%) consisting 20. 78% of the stage I, 54.55% stage II, and 24.67% stage III. The youngest age was five months (2 cases) and the oldest was 14 years old (3 cases). The case fatality rate was 27.54%, they were 2.17% stage I, 32.61% stage II, and 65.22% stage III. Stage III showed higher mortality rate than stage I and II (p <0.001). The most frequent symptom was convulsion (43. 71%) followed by fever (33.53%) .
Contact with patients who bad pulmonary tuberculosis were found in 56.28%. Positive tuberculin test was found in 17.96% and pulmonary radiological abnormalities in57.48%.
The highest number oj cases (51.50%) was group with cerebrospinal fluid cell count of 101 - 500/mm · Cases which never got BCG immunization comprised 83.83%. The nutritional states on admission to the hospital were mild / moderate malnutrition in 67.07% and severe malnutrition in 32.93%.