Source:http://linkedlifedata.com/resource/pubmed/id/10528877
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
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| pubmed:dateCreated |
1999-11-23
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| pubmed:abstractText |
We reviewed the medical records of 26 patients (median age 62 years, range 5-76 years) admitted to our institution during 1978-98 with acute bacterial meningitis (ABM) caused by streptococci other than Streptococcus pneumoniae (comprising 1.9% of all patients with ABM). 19 cases were community-acquired and 7 were nosocomial. 73% had comorbid or predisposing conditions and 73% had an identifiable extracerebral focus; only in 2 patients no comorbid disease, primary focus or predisposing condition was present. Five patients had cerebral abscesses, and 5 had endocarditis. Beta-haemolytic streptococci were grown in 14 cases (serotype A: 4, B: 5, C: 1, G: 4) and were predominant among patients with endocarditis, whereas alpha- or non-haemolytic strains grew in 12 cases (S. mitis: 4, S. constellatus: 2, E. faecalis: 2, S. bovis: 1, unspecified: 3) and were predominant in patients with a brain abscess. Staphylococcus aureus grew together with a streptococcus in 2 cases. Blood culture was positive in 9 cases (35%). Neurologic complications occurred in 11 patients (42%) and extraneurologic complications in 18 patients (69%). Adverse outcomes occurred in 10 patients (38%), including 3 patients who died. Occurrence of seizures at any time of disease was significantly associated with an adverse outcome; no other clinical or paraclinical features appeared to affect outcome.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:chemical | |
| pubmed:status |
MEDLINE
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| pubmed:issn |
0036-5548
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
31
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
375-81
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| pubmed:dateRevised |
2005-11-17
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| pubmed:meshHeading |
pubmed-meshheading:10528877-Acute Disease,
pubmed-meshheading:10528877-Adolescent,
pubmed-meshheading:10528877-Adult,
pubmed-meshheading:10528877-Age Distribution,
pubmed-meshheading:10528877-Aged,
pubmed-meshheading:10528877-Anti-Bacterial Agents,
pubmed-meshheading:10528877-Child,
pubmed-meshheading:10528877-Child, Preschool,
pubmed-meshheading:10528877-Denmark,
pubmed-meshheading:10528877-Drug Therapy, Combination,
pubmed-meshheading:10528877-Female,
pubmed-meshheading:10528877-Humans,
pubmed-meshheading:10528877-Incidence,
pubmed-meshheading:10528877-Male,
pubmed-meshheading:10528877-Meningitis, Pneumococcal,
pubmed-meshheading:10528877-Middle Aged,
pubmed-meshheading:10528877-Registries,
pubmed-meshheading:10528877-Retrospective Studies,
pubmed-meshheading:10528877-Risk Factors,
pubmed-meshheading:10528877-Sex Distribution,
pubmed-meshheading:10528877-Statistics, Nonparametric,
pubmed-meshheading:10528877-Streptococcus,
pubmed-meshheading:10528877-Streptococcus pneumoniae,
pubmed-meshheading:10528877-Survival Rate
|
| pubmed:year |
1999
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| pubmed:articleTitle |
Meningitis caused by streptococci other than Streptococcus pneumoniae: a retrospective clinical study.
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| pubmed:affiliation |
Department of Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Denmark.
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| pubmed:publicationType |
Journal Article
|