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Case Report
A Case of Salmonella Group C Meningitis
Dae Chul Kim, Ju Hyun Han, So Young Lee, Jeh Hoon Shin, In Joon Seol
Clin Exp Pediatr. 1992;35(10):1449-1453.   Published online October 15, 1992
We experienced a case of salmonella group C meningits in a 3 month old male. His initial chief complaints at the admission were high fever, lethargy, irregular respiration and arrythmias. Diagnosis was confirmed by lumbar puncture, blood culture and CSF culture. Ceftriaxone was used and recovered with some sequelae such as irritability, generalized spasticity and mild regression of psychomotor development.
Three Cases of Listeria Infection in the Immunocompromised Children
Mee Ran Kim, Bo Young Yun, Hye Young Kang, Sung Hee Jang, Hoan Jong Lee, Yong Seung Hwang, Eui Chong Kim
Clin Exp Pediatr. 1992;35(10):1419-1426.   Published online October 15, 1992
Infection by Listeria monocytogenes, an uncommon pathogen in immunocompromised host, has been reported in neonates, pregnant women and adults with defective cell mediated immunity but not in children in Korea. It can cause sepsis, meningitis, abortion, premature labor, intrauterine fetal infection. etc. We have experienced L. monocytogenes sepsis and/or meningitis in three children under immunosuppresive therapy for lymphoma-leukemia, cytophagic histiocytic...
Four Case of Neonatal Group B Streptococcal Sepsis/Meningitis
Jae Geon Sim, Soon Wha Kim, Young Jin Hong, Don Hee Ahn, Keun Chan Sohn
Clin Exp Pediatr. 1992;35(2):275-281.   Published online February 15, 1992
Authors have experienced four cases of neonatal sepsis and meningitis whose organisms were group B streptococci which are thought to be rare causative agent for neonatal sepsis in Korea. Two of four cases were early onset type. Three of them were recovered with antibiotic therapy. One of three alives was found to have mild neurologic sequelae when we examined him...
Original Article
A Study on the Diagnostic Value of Cerebrospinal Fluid Adenosine Deaminase Activity in Children with Tuberculous Meningitis
Won Kyu Choi, Mee Kyung Namgoong, Hae Yong Lee, Hwang Min Kim, Jae Seung Yang, Jong Soo Kim
Clin Exp Pediatr. 1992;35(1):88-97.   Published online January 15, 1992
Tuberculous meningitis is still relatively common infectious disease of central nervous system in korea. The prognosis of tuberculous meningitis is closely related to the state at which treatment if started. Adenosine deaminase (ADA) is an enzyme which irreversibly hydrolyzes adenosine into inosine and ammonia. Recent investigations have suggested that the measurement of ADA activities in cerebrospinal fluid is useful in the...
Epidemics of aseptic meningitis in Seoul area during 1989-90.
Eun young Cho, Mi Koo Kang, Soo Jong Hong, Ki Soo Kim, Young Seo Park, In Sook Park, Hyung Nam Moon, Chang Yee Hong
Clin Exp Pediatr. 1991;34(11):1565-1572.   Published online November 30, 1991
We performed clinical and virological studies on 200 children with aseptic meningitis who had been admitted to the department of Pediatrics, Asan Medical Center from June, 1989 to August, 1990. The results were as follows; 1) There were total of 236 meningitis cases during this period, 13(5.5%) with bacterial meningitis, 3(1%) with tuberculous meningitis, 220(93.2%) with aseptic meningitis. Am이lg aseptic meningitis, 20(8.5%) were mumps meningitis. 2) Aseptic meningitis...
Clinical studies of aseptic meningitis.
Kang Woo Park, Dae Young Choi, Sung Won Kim
Clin Exp Pediatr. 1991;34(10):1400-1408.   Published online October 31, 1991
Fifty-six cases of aseptic meningitis were clinically observed from Jan., 1990 to Aug., 1990. Etiologic classification showed that 53cases (94.6%) were of unknown etiology because virus was not identified and 3 cases (5.4%) were mumps meningitis. The most frequent age group was early childhood (55.4%) and more frequent in male. The symptoms were fever, vomiting and headache in order of frequency. The finding of spinal...
Brain CT and clinical finding in tuberlous meningitis.
Moon Chan Kim, Chan Yung Kim
Clin Exp Pediatr. 1991;34(10):1391-1399.   Published online October 31, 1991
In this study, we evaluated clinical symptoms, neurologic findings, CSF examinations and prognosis of patients who were diagnosed to have tuberculous meningitis at Pusan National University Hospital and Gospel Hospital from march, 1983 to december, 1989. 1) Mean age was 3 years and 8 months and the percentage of patients under 6 years old was 71.9%. The male to female ration was 2.2:1. 2) Fever and vomiting...
A clinical study on neonatal bacterial meningitis.
Yong Won Park, Jung Hwan Choi, Chong Ku Yun
Clin Exp Pediatr. 1991;34(6):763-770.   Published online June 30, 1991
Clinical courses of 12 neonates who were confirmed as neonatal bacterial meningitis by CSF culture or CSF latex agglutination test from January, 1986 to June, 1990, emphasizing on their complications and treatments, were evaluated. The results were summarized as follows; 1) The most common etiologic organism was E. coli (33.3%). 2) Two most common complications were ventriculitis (66.7%) and hydrocephalus (66.7%). 3) EVD with intraventricular antibiotics therapy was only...
Clinical studies of meningitis cases in children.
Chun Oh Lee, Song Nyeon Choi, Yong Wook Kim, Ki Bok Kim
Clin Exp Pediatr. 1991;34(2):206-216.   Published online February 28, 1991
A clinical studies were carried out on 442 cases who were admitted to the Department of Pediatrics, Kwangju Christian Hospital under impression of meningitis during a 7 year period form January, 1982 to December, 1989. The results are summerized; 1) No yearly fluctuation in incidence for both purulent and aseptic meningitis was noted, but decreasing tendency was clearly seen for tuberculous meningitis. 2) Purulent meningitis affected mostly babies...
A Case of Subdural Empyema Complicating Hemophilus Influenzae Meningitis.
Myung Sun Oh, Nan Kyung Kim, Sae Yoo Jung, Soon Ung Kang, Jung Kyou Kim, Byong Kwan Son
Clin Exp Pediatr. 1990;33(8):1129-1133.   Published online August 31, 1990
We have experienced Hemophilus influenzae meningitis complicated by subdural empyema, which was confirmed by computerized tomography and subdural tapping. The patient was 5-month-old female who was admitted with high fever and generalized siezure. Hemophilus influenzae meningitis was confirmed by the culture of spinal fluid. The organism was sensitive to the ampicillin but the clinical course was not satisfactory with persisting high fever because of complication....
Total Protein, Albumin and IgG Analysis of Serum and Cerebrospinal Fluid in Control and Aseptic Meningitis.
Nak Won Choi, Myung Ja Yoon, Hae Rung Chung, Dong Hyuk Kum
Clin Exp Pediatr. 1990;33(8):1057-1064.   Published online August 31, 1990
Determination of proteins in CSF and serum demonstrates two pathological conditions of CNS, namely a blood brain barrier (B.B.B.) damage and a selective elevation of IgG due to synthesis within CSF CNS. -Q albumin ratio is a sensitiv eand adequate parameter for demonstration of B.B.B. Serum CSF . „ / s^IgGratl0\ I pep \ damage and IgG Index = I Serum ) albumin ratio is a better measurement for local production of IgG...
Three cases of Chronic Meningitis.
Soon Mee Park, In Sang Jeon, Hyung Ro Moon
Clin Exp Pediatr. 1990;33(4):544-552.   Published online April 30, 1990
Chronic menigitis may be defined as symptoms and signs of meningeal inflammation lasting four weeks or longer. It has many infectious and noninfectious causes. Tuberculous and fungal infections are the most common causes. But no cause is found in the significant portions of chronic meningitis(idiopathic meningitis), although most appear to respond to treatment either with anti-tuberculosis drugs or steroids. Intereastingly eosinophilic pleocytosis in the cerebrospinal...
Citrobacter Freundii Meningitis in A Newborn.
Sang Yun Ahn, Yong Joo Kim, Seung Hee Oh, Soo Jee Moon
Clin Exp Pediatr. 1989;32(12):1732-1735.   Published online December 31, 1989
Citrobacter freundii have been reported infrequently as a cause of meningitis. And, among bacteria that cause meningitis, Citrobacter is unique in its propensity to produced brain abscess. But the pathogenesis of Citrobacter meningitis and brain abscess in humans is unknown. The high prevalance of brain abscess in infants with Citrobacter meningitis mandates cranial computed tomography in every case. The morbidity and mortality rates associated with...
A Case of Recurrent Bacterial Meningitis with CSF Rhinorrhea.
Dae Shik Kim, Jin Yong Lee, Chang Jun Coe, Jin Suk Suh
Clin Exp Pediatr. 1989;32(8):1161-1166.   Published online August 31, 1989
Recurrent bacterial meningitis is a rare disease which is associated with congenital or acquired anatomical defects of CNS and surround structures, or it may be due to parameningeal foci of infection, defects in immune response, and post-operative state of shunt procedure in hydrocephalus. We experienced the patient of recurrent bacterial meningitis with CSF rhinorrhea due to structural defect which was not defined exactly. We identified...
A Case of Mycoplasmal Meningitis Associated with Mycoplasma Pneumoniae Pneumonia.
Sang Young Jeong, Seung Koog Kim, Sung Ho Cha, Sa Jun Chung, Chang Il Ahn
Clin Exp Pediatr. 1989;32(4):556-560.   Published online April 30, 1989
Mycoplasmas have been recognized as pathogens of respiratory tract in children and adolescence, but clinically apparent pneumonia develops in only 3 to 10% of infected persons. Central nervous system complication, such as aseptic meningitis, meningoencephalitis. transverse myelitis, hemiplegia, cerebellar ataxia and psychosis, associated with Mycoplasma pneumoniae infection were developed in .0.1 % of all Mycoplasmal infection. We experienced a case of Mycoplasma pneumoniae pneumonia and...
A Case of Recurrent Bacterial Meningitis due to Congenital Cribriform Plate Defect.
Hong Chul Lee, Jong Leam Choi, Wan Soeb Kim, Myung Ho Lee
Clin Exp Pediatr. 1989;32(3):412-417.   Published online March 31, 1989
One patient with a history of recurrent bacterial meningitis was examined with skull and sinus radiographs, routine cranial computed tomography and immunologic evaluation. None of these studies were diagnostic. Thin-section (1-2 mm) direct coronal computed cranial tomography demonstrated congenital cribriform plate defect. This patient was repaired surgically and no further meningitis has developed for 16 months
Clinical Observations of Meningitis.
Byoung Hoon Lee, Hyung Keun Nam, Myung Ik Lee, Keun Chan Sohn
Clin Exp Pediatr. 1989;32(2):180-190.   Published online February 28, 1989
The 267 cases of meningitis were observed at National Medical Center between Jan. 1st 1979 and May 31, 1986. The results were as follow; 1) In BM and TM sexual difference was not notice, but male was more in AM. 2) In BM infancy was the most common, but school age was common was AM. 3) Most cases developed during spring in BM and TM...
Serum C-Reactive Protein in Differential Diagnosis of Meningitis in Children.
Hae Lim Chung, Hoan Jong Lee, Yong Seung Hwang
Clin Exp Pediatr. 1988;31(12):1588-1593.   Published online December 31, 1988
CSF findings such as cell count, differential count, protein, glucose and serum CRP determined by capillary precipitin method evaluated in 90 patients of meningitis admitted to the pediatric ward of Seoul National University Children’s Hospital, in terms of differential diagnosis of meningitis. The results are as follows; 1) There was considerable overlap of CSF findings and hematQlogic values between bacterial, aseptic and tuberculous meningitis groups. 2) All 9...
A Case of Mollaret Meningitis.
Yong Joo Kim, Soon Sup Jang, In Joon Seol
Clin Exp Pediatr. 1988;31(9):1193-1196.   Published online September 30, 1988
Mollaret meningitis is a benign recurrent aseptic meningitis. We experienced a case of Mollaret meningitis in a 5 years old male child. He has had 4 times of recurrent aseptic meningitis after antecedent viral infection which showed meningeal irritation signs, weakness of lower extremities and urination difficulties. We present a case of Mollaret meningitis with brief review of related literatures.
Lateral Ventricular Indices in tuberculous Meningitis.
Ja Wook Koo, Hang Bo Cho, In Joon Seol, soo Jee Moon, Hahng Lee, Keun Soo Lee
Clin Exp Pediatr. 1988;31(8):984-991.   Published online August 31, 1988
Computed tomography is a very valuable method by which the pathogenic evolution of tuberculous meningitis may be followed, thereby facillitating its differential diagnosis and controlling the effi- ciency of therapy, and assessing the degree of hydrocephalus. Fifteen cases of clinically proven intracranial tuberculosis were studied by lateral ventricular indices of brain computed tomography in our hospital during last 3 years. The results were as follows: 1)...
Clinical Review of Tuberculous Meningitis in Children.
Hyung Kook Kim, Mi Aie Han, Jong Wan Kim, Chang Kyu Oh, Mahn Kyoo Yang
Clin Exp Pediatr. 1988;31(7):892-900.   Published online July 31, 1988
147 Cases of tuberculous meningitis who were admitted to the pediatric department of St. PauFs Hospital, Catholic University Medical College from Jan. 1972 to Dec. 1985 were reviewed clinically. The results were as follows 1) The sex ratio, male to female was 1.2:1 2) The age incidence was highest under the age of 1 and 84.4% of the petients were under the age of 6 years. 3) The seasonal...
7 Cases of Group B Streptococcal Meningitis and Sepsis.
Young Wan Kim, Ran Namgung, Chul Lee, Dong Gwan Han
Clin Exp Pediatr. 1988;31(7):873-880.   Published online July 31, 1988
We report 7 cases of Group B streptococcal meningitis and sepsis. Six of the patients were admitted to the Department of Pediatrics, Severance Hospital and Youngdong Severance Hospital in 1986 and one was admitted in 1979. The age of onset ranged from 10 to 34 days of age and all were cases of late onset. The Clinical findings were fever, seizure, poor feeding,...
Cerebrospinal Fluid Lymphocytosis in Acute Bacterial Meningitis on Children.
Hong Kun Kim, Woo Gill Lee
Clin Exp Pediatr. 1988;31(6):707-714.   Published online June 30, 1988
Clinical and laboratory analysis of 78 cases of acute bacterial meningitis diagnosed by cere- brospinal (CSF) culture under 15 years old was made, retrospectively from Jan. 1973 to Dec. 1986, who were admitted to the Department of Pediatrics Hanyang University Hospital. The results analysed were as follows: 1) CSF lymphocytosis (more than 50% lymphocytes or mononuclear cells)occurred in 18 of 78 cases (23%) of bacterial meningitis. 2) There...
A Case of Mucocutaneous Lymph Node Syndrome Complicated by Aseptic Meningitis, Hydrops of the Gallbladeder and Dilatation of the Coronary Arteries.
Ho Jin Lee, Sung Sook Cho, Hyung Sik Moon, Hong Kue Lee, Soon Il Lee, Young Seok Lee
Clin Exp Pediatr. 1987;30(11):1259-1264.   Published online November 30, 1987
We experienced 1 case of mucocutaneous lymph node syndrome complicated by aseptic meningitis, hydrops of the gallbladder and dilatation of the coronary arteries in 2 year 8 month old female infant. Her clinical synptoms, laboratory data and clinical courses were presented with brief review of the literatures. This baby admitted because of high fever and vomiting for 6 days. She had injection of...
Clinical Observation and Study for Cerebrospinal Fluid Protein Levels in Aseptic Meningitis.
D H Chee, M I Lee, S H Kim, K C Sohn
Clin Exp Pediatr. 1987;30(10):1107-1114.   Published online October 31, 1987
Observation for clinical findings and laboratory findings, especially for cerebrosipinal fluid protein level has been done in 57 cases of aseptic meningitis who had been admitted to pediatric dept, of National Medical Center from Jan. ’81 to May ’85. The results were as follows; 1) The ratio of male to female was 1.7:1, and the cases were distributed relatively evenly through ...
Case Report
Three Cases of Neonatal Group B Streptococcal Meningitis.
Jae Kwang Hong, Hyun Mo Cheong, Jung Sik Min, June Tae Park, Chang Hee Choi
Clin Exp Pediatr. 1987;30(7):777-783.   Published online July 31, 1987
We have experienced three cases of neonatal meningitis caused by group B streptococcus, which were confirmed by slide coagglutination test. One case was an early-onset type and the other two cases were late-onset type. These cases are reported with a brief review of the literatures.
Original Article
Significance of Brain CT in Children with Meningitig.
Myeong Yeon Lee, Byoung Soo Cho, Sa Jun Chung, Yong Mook Choi, Chang Il Ahn
Clin Exp Pediatr. 1987;30(6):640-650.   Published online June 30, 1987
This study was undertaken to evaluate the significance of brain CT in children with meningitis. The findings of brain CT in 71 children with meningitis were evaluated in relation to the clinical outcome. We divided 71 cases into 5 groups according to clinical outcome on discharge, that is, Group I: Recovery. Group II: Discharge with improvement. Group III: Discharge with residual sequalae. Group IV:...
Case Report
A Case of Recurrent Bacterial Meningitis Secondary to the Defect of Stapes Footplate.
Soon Hee Eom, Joo Hong Cha, Byoung Soo Cho, Sa Jun Chung, Chang Il Ahn, Chang Il Cha
Clin Exp Pediatr. 1986;29(7):779-783.   Published online July 31, 1986
With the dramatic lowering the mortality rate of bacterial meningitis since the introduction of antibacterial agents, multiple attacks of bacterial meningitis no longer are a curiosity. So multiple attacks of bacterial meningitis may be the only indication of the existence of an abnormal communication between the nasopharynx or ear and the meningeal space and such a communication must be found. We...
A Case of Eosinophilic Granuloma with Recurrent Bacterial Meningitis associated with CSF Rhinorrhea.
Eung Deok Choi, Mee Kyung Namgoong, Seung Ha Yoo, Baek Keun Lim, Jong Soo Kim, Tae Seung Kim
Clin Exp Pediatr. 1986;29(2):209-214.   Published online February 28, 1986
We experienced a case of eosinophilic granuloma with multiple lesions on skull, ribs, vertebrae, tibia and pelvic bone. In addition, recurent bacterial meningitis was associated with CSF rhinorrhea probably due to osteolytic lesion of eosinophilic granuloma in the same patient. A brief review of literature was made.
Original Article
Clinical Study of Plasma A.V.P Levels in Children with Meningitis.
Jun Gun Kim, Hye Kyung Cho, Mea Young Chung, Dong Hyuck Kum
Clin Exp Pediatr. 1985;28(4):325-329.   Published online April 30, 1985
Plasma A.V.P. levels were determined by radioimmunoassay in 31 children who were hospitalized to Pediatric Department of the Korea General Hospital from June 1984 to August 1984. Among 31 hospitalized children, 21 were meningitis cases as for study group and the rest 10 were URI cases as for control group. Meningitis cases were classified as aseptic meningitis group(16 aseptic meningitis...
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