Tuberculous meningitis at the Department of Child Health Dr. Pirngadi Hospital Medan (1979)

  • Sondang Tambunan Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • Adi Sutjipto Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • Rahayu Saat Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • A. J. Noeriman Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • Helena Siregar Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • Bistok Saing Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
Keywords: tuberculous meningitis; BCG immunization; fever; convulsion; unconciousness

Abstract

A retrospective study on tuberculous meningitis had been carried out on 43 patients at the Department of Child Health, Dr. Pirngadi Hospital Medan during the year 1979. The peak incidence (55.81%) was found in the age group of less than 3 years of which 55.81% was in the second and 44,18% in the third stadium of the disease. Two of the cases were 4 months of age and 1 case was 14 years. None of the cases had got BCG immunization. Mortality rate was 37.21% of which 25% was in the second and 52.63% in the third stadium. Cerebrospinal fluid examination showed that 46.50% had cell counts between 101-500 cells/mm3. The symptoms were prolonged fever (62. 79%), convulsions (72.09%) and unconciousness (27.90%).

Of these cases 83.72% had contact with tuberculous patients; 6.9% had positive tuberculin test and 48,83% showed pulmonary involvement on radiological examination. Nutritional status of these cases showed that 48.83% were undernourished and 34.82% were in poor nutritional status.

References

1. FARMER. T.W. :Pediatric Neurology, 2nd. ed. p. 268 - 272 (1975).
2. HARRISON, B.D.W. ; TUGWELL, P.; FAWCETT, I.W. : Tubercullin reaction in adult Nigerians with sputum positive pulmonary tuberculosis. Lancet ii: 421 (1969).
3. HOKERT, O.W.; DONNEL, M : A follow up of 103 children recovered from tuberculous meningitis. Acta Paediat. 51 (suppl 141) : 26 - 33 (1962).
4. MILLER, F.J.W. : Tuberculosis in children (Chruchil, Livingstone, Lomdon, 1963).
5. NELSON, W.E.; VAUGHAN, V.C.; MC. KAY, R.J.; BEHRMAN, R.E. : Textbook of Pediatrics, pp. 828-830; 11th. ed. Saunders and lgaku Shoin, Philadelphia-London-Toronto Tokyo 1979).
6. RAHAJOE, N.N.; NOENOENG RAHAJOE,N.; BOEDIMAN, I, SAID, M, LAZUARDI S : The treatment of Tuberculous Meningitis in Children with a combination of Isoniazid, Rifampicin and Streptomycin. Paediatr. lndones. 19 : 285 - 2 94 (1979).
7. TJAIJ, J.K.; SARAGIH, R.; HALIM, S.; JRAWATI, T.; HARNOPIDJATI,P.; MANURUNG, S.M.; SITOMPUL, MUD. : Tuberculosis in Children and BCG vaccination in North Sumatera. Paediatr. Indones. 15 : 303- 314 (1975).
8. VISUDIPHAN,P.; CHIEMCHANY A, S. : Hydrocephalus in tuberculous meningitis in children : Treatment with Acetazolamide and repeated lumbar puncture. J. Pediatr. 95 : 657 - 660 (1979).
Published
2018-08-03
How to Cite
1.
Tambunan S, Sutjipto A, Saat R, Noeriman A, Siregar H, Saing B. Tuberculous meningitis at the Department of Child Health Dr. Pirngadi Hospital Medan (1979). PI [Internet]. 3Aug.2018 [cited 4May2024];24(7-8):165-2. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1904
Section
Pediatric Respirology
Received 2018-08-03
Published 2018-08-03