Computed tomography in purulent meningitis

Am J Dis Child. 1982 Jun;136(6):495-501. doi: 10.1001/archpedi.1982.03970420019003.

Abstract

Of 102 patients with bacterial meningitis admitted to the Children's Hospital of Buenos Aires, 25 were selected for computed tomographic (CT) scans on the basis of altered consciousness for more than 96 hours after admission, persistent or recurrent seizures after 72 hours of antibiotic therapy, development of focal neurologic signs, increased intracranial pressure or prolonged fever. Scan findings included hydrocephalus, cerebritis, vasculitis, subdural effusion, cerebral atrophy, abscess, and ependymitis. Serial CT scans demonstrated the progression or regression of some complications. The CT scan was very useful in indicating the need for neurosurgical procedures.

MeSH terms

  • Brain Edema / complications
  • Cerebral Ventriculography
  • Child
  • Child, Preschool
  • Female
  • Gentamicins / therapeutic use
  • Humans
  • Hydrocephalus / complications
  • Infant
  • Infant, Newborn
  • Male
  • Meningitis / complications
  • Meningitis / diagnostic imaging*
  • Meningitis / drug therapy
  • Meningitis, Haemophilus / complications
  • Meningitis, Haemophilus / diagnostic imaging
  • Meningitis, Haemophilus / drug therapy
  • Meningitis, Pneumococcal / complications
  • Meningitis, Pneumococcal / diagnostic imaging
  • Meningitis, Pneumococcal / drug therapy
  • Radionuclide Imaging
  • Streptococcal Infections / complications
  • Streptococcal Infections / diagnostic imaging
  • Streptococcal Infections / drug therapy
  • Tomography, X-Ray Computed*

Substances

  • Gentamicins