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Clinical Studies of Aseptic Meningitis in Pusan Area in 1996

Journal of the Korean Pediatric Society 1998;41(1):38-46.
Published online January 15, 1998.
Clinical Studies of Aseptic Meningitis in Pusan Area in 1996
Ji Yeon Hur, Tag Soo Kim, Woo Je Cho, Sung Won Kim
Department of Pediatrics, St. Benedict Hospital, Pusan, Korea
1996년 부산지역에서 유행한 무균성 뇌막염에 대한 임상적 검토
허지연, 김탁수, 조우제, 김성원
부산 성분도병원 소아과
Correspondence: 
Sung Won Kim, Email: 1
Abstract
Purpose
: We report clinical features and viral studies on 153 children with aseptic meningitis in the Pusan area in 1996 and compare the results of this study with those of other reports in 1990 and 1993.
Methods
: One hundred fiffy-three children with aseptic meningitis who have been admitted to the Department of Pediatrics, St. Benedict Hospital between July and October 1996 were included. We described age and sex distribution, monthly distribution, clinical manifestations, laboratory data and complication.
Results
: The male to female ratio was 2.32:1 and the most age was 4.21 years. It occurred mostly in July, August and October. It was later than the peak incidence between May and July in 1990 and 1993. The main symptoms were fever, headache and vomiting in this order. Rash was mostly maculopapular form and frequent in those younger than 4 years-old. No specific
results
were not found in peripheral blood and CSF studies. We failed to isolate the causative agent in the viral culture, but Echovirus 9 was suspected as a causative agent by its clinical features and other similar reports. The duration of clinical symptoms in the early diagnostic group was significantly shorter that in late diagnostic group.
Conclusions
: Aseptic meningitis was prevalent in children in the Pusan area, during the summer of 1996. It was frequent in male and the mean age was 4.21 years. It occurred mostly in July, August and October. Peak incidence was later than in 1990 and 1993. The main symptoms : fever, headache, vomiting and rash were observed frequently.
Key Words: Aseptic meningitis, Rash


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