EVALUATION OF THE INCIDENCE OF MENINGEAL SIGNS & RELATED FACTORS IN ADULTS WITH MENINGITIS ADMITTED TO LOGHMAN-E-HAKIM HOSPITAL (2002 – 2005)

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SHOKOUHI S.; AMIN ZADEH Z.; HAJI MAZDARANI SH.

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Journal: Journal of Medical Council of Iran Year:2007 | Volume:25 | Issue:2 Page(s): 192-197

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Title

EVALUATION OF THE INCIDENCE OF MENINGEAL SIGNS & RELATED FACTORS IN ADULTS WITH MENINGITIS ADMITTED TO LOGHMAN-E-HAKIM HOSPITAL (2002 – 2005)

Author(s)

SHOKOUHI S. | AMIN ZADEH Z. | HAJI MAZDARANI SH. | Issue Writer Certificate

Keywords

NUCHAL RIGIDITYQ3

KERNIG’S SIGNQ3

BRUDZINSKI’S SIGNQ3

TRIPOD PHENOMENONQ3

PLEOCYTOSISQ3

Abstract

Background: In the evaluation of adults suspected of meningitis, physical findings are more reliable than the history. This study was designed to evaluate the incidence & sensitivity of meningeal signs (Kernig, Brudzinski, TRIPOD PHENOMENON & NUCHAL RIGIDITY) in adults with meningitis admitted to Loghman-e-Hakim Hospital from 2002 to 2005. Methods: A total of 85 patients (59 males: 64.7% and 26 females: 30.6%) older than 14 years with acute meningitis admitted in Loghman–e-Hakim Hospital were evaluated in an analytic descriptive study. The patient’s data and physical examination for meningeal signs was taken before lumbar puncture, and the data was analyzed by using SPSS software (version 13). Findings: Sixty-seven patients (79%) had NUCHAL RIGIDITY, 24 cases (28%) had KERNIG’S SIGN and 24 cases (28%) had BRUDZINSKI’S SIGN. We found PLEOCYTOSIS, more than 1000 WBCs, in the CSF of 16 patients (19%). The relation between WBC≥1000 in CSF with all meningeal signs was statistically significance (P<00.5). We found statistically significant associations between PMN≥80% in CSF and KERNIG’S SIGN, and TRIPOD PHENOMENON too (P<00.5). Conclusion: Our findings re-emphasizes on the importance of CSF’s WBC count and its differential in the diagnosis of meningitis. On the other hand, the low sensitivity of meningeal signs alerts us of the need to design more accurate studies for finding more sensitive physical findings in these patients.

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APA: Copy

SHOKOUHI, S., AMIN ZADEH, Z., & HAJI MAZDARANI, SH.. (2007). EVALUATION OF THE INCIDENCE OF MENINGEAL SIGNS & RELATED FACTORS IN ADULTS WITH MENINGITIS ADMITTED TO LOGHMAN-E-HAKIM HOSPITAL (2002 – 2005). JOURNAL OF MEDICAL COUNCIL OF I.R.I., 25(2), 192-197. SID. https://sid.ir/paper/41404/en

Vancouver: Copy

SHOKOUHI S., AMIN ZADEH Z., HAJI MAZDARANI SH.. EVALUATION OF THE INCIDENCE OF MENINGEAL SIGNS & RELATED FACTORS IN ADULTS WITH MENINGITIS ADMITTED TO LOGHMAN-E-HAKIM HOSPITAL (2002 – 2005). JOURNAL OF MEDICAL COUNCIL OF I.R.I.[Internet]. 2007;25(2):192-197. Available from: https://sid.ir/paper/41404/en

IEEE: Copy

S. SHOKOUHI, Z. AMIN ZADEH, and SH. HAJI MAZDARANI, “EVALUATION OF THE INCIDENCE OF MENINGEAL SIGNS & RELATED FACTORS IN ADULTS WITH MENINGITIS ADMITTED TO LOGHMAN-E-HAKIM HOSPITAL (2002 – 2005),” JOURNAL OF MEDICAL COUNCIL OF I.R.I., vol. 25, no. 2, pp. 192–197, 2007, [Online]. Available: https://sid.ir/paper/41404/en

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