Aspectele clinice şi de laborator ale meningitelor meningococice la copii şi la adulţi

Abstract

Summary. We have performed an analysis of the medical history of 84 patients with meningococcal meningitis în the Public Health Care Setting, Clinical Hospital of Infectious Diseases „T. Ciorbă”. Among them were 49 (58.3%) children, 35 (41.7%) adults. în most cases (55.1%) the disease was revealed în children under 3 years old with a predominance of children under one year 32.7%. Among adult patients there was recorded a predominance among patients aged 19-30 years old, but after 50 years, meningococcal meningitis was observed în 25.7% of patients. In both children and adults, meningococcal meningitis was accompanied by meningococcemia (87.8% and 60% respectively) and în most cases a severe form (81.6% and 65.7% respectively). The disease diagnosis was confi rmed by bacterioscopical and bacteriological methods în 69.4% of children and 88.6% of adults. Favorable course of convalescence was noted în 98% of children and 94.3% of adults.

Резюме. Нами был произведен анализ историй болезни 84-х больных с менингококковым менингитом в Государственном Медико-Санитарном Учреждении Инфекционной клинической больнице «Т. Чорбэ». Из них детей было 49 (58,3%), взрослых – 35 (41,7%). В большинстве случаев (55,1%) болели дети до 3-х лет, с преобладанием детей до одного года (32,7%). Среди взрослых преобладали больные в возрасте 19-30 лет, однако и после 50-и лет менингококковый менингит отмечался у 25,7% больных. Как у детей, так и у взрослых менингококковый менингит протекал в сочетании с менингококкцемией (87,8% и 60% соот.) и в большинстве случаев в тяжёлой форме (81,6% и 65,7% соот.). Диагноз болезни был подтверждён бактериоскопическим и бактериологическим методами у 69,4% детей и 88,6% взрослых. Благоприятное течение с выздоровлением отмечалось у 98% детей и 94,3% взрослых.