Enteroviral meningitis in children in Turkey

• Authors: Gülnar Şensoy , Kutay Sel , Ethem Özkaya , Bahar Çuhaci Çakir , Sadi Vidinlisan , Levent Doganci
• Languages of publication: EN

Abstracts

EN

In the indexed medical literature, there have been a very limited number of studies to investigate the epidemiologic and clinical features of enteroviral meningitis in Turkey. The aim of the present retrospective study is to update the actual situation to recognize the spectrum and magnitude of this important clinical entity. Between June 1999 and December 2004, 612 cases of aseptic meningitis were followed up at our hospital. Enteroviral meningitis was defined by isolation of enteroviruses from cerebrospinal fluid (CSF) and/or stool samples. Mumps virus was detected in 310 cases (50.7%) and enteroviruses were the etiologic agents in 104 (17%) of the patients with aseptic meningitis. Most of the enteroviral meningitis cases (36 cases, 34.6%) were diagnosed in August and 70 (67.3%) of them were male. The mean age was 5.6 ± 3.4 years. The most common initial symptoms were fever (81.7%), vomiting (77.9%) and headache (57.7%). In the physical examination, 46.2% of the cases had neck stiffness and 38.5% had pharyngitis. Echovirus 30 was the most frequently (38 cases, 36.5%) isolated enterovirus with peaks in 1999, 2002 and 2004. The other frequently isolated enteroviruses were Coxsackie virus type B (17 cases, 16.3%), echovirus 6 (11 cases, 10.6%), echovirus 11 (6 cases, 5.8%), and echovirus 13 (4 cases, 3.8 %). Mean hospitalization time was 6.2 ± 2.4 days. All patients recovered without any sequelae. Enteroviruses have an important role in childhood aseptic meningitis cases in Turkey too, and the predominant serotypes vary according to years.

Keywords

EN

Meningitis; Viral etiology; Enteroviruses; Childhood

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2009
• Volume: 4
• Issue: 2
• Pages: 253-258

Dates

published

1 - 6 - 2009

online

27 - 3 - 2009

Contributors

author

Gülnar Şensoy

• The Pediatric Infectious Diseases Unit, Ministry of Health, Ankara Dişkapi Children’s Diseases Training and Investigation Hospital, 06010, Ankara, Turkey

author

Kutay Sel

• The Department of Pediatrics, Ministry of Health, Ankara Dişkapi Children’s Diseases Training and Investigation Hospital, 06010, Ankara, Turkey

author

Ethem Özkaya

• Virology Department of Refik Saydam Central Institute of Hygiene, 06010, Ankara, Turkey

author

Bahar Çuhaci Çakir

• The Department of Pediatrics, Ministry of Health, Ankara Dişkapi Children’s Diseases Training and Investigation Hospital, 06010, Ankara, Turkey

author

Sadi Vidinlisan

• The Department of Pediatrics, Ministry of Health, Ankara Dişkapi Children’s Diseases Training and Investigation Hospital, 06010, Ankara, Turkey

author

Levent Doganci

• Department of Infectious Diseases, Ondokuz Mayis University Medical Faculty, 55139, Samsun, Turkey

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Identifiers

DOI

10.2478/s11536-008-0055-5