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6 - Evaluation of meningococcemia cases hospitalized in pediatric infectious diseases clinic
Metin Uysalol, Laliz Kadıoğlu, Umut Zubarioğlu, Ezgi Paslı, Leyla Telhan, Feyzullah Çetinkaya
Objective: To evaluate the relation of mortality and morbidity rates with epidemiologic, clinical and laboratory features of patients with meningococcemia retrospectively.
Material and Method: We reviewed epidemiologic, clinical, laboratory and prognosis of 17 patients hospitalized between january 2004 and december 2006 with meningococcemia according to hospital recordings.
Results: Most patients were hospitalized in summer (%52,9). One patient from the 0-2 age group died. Ten patients had meningococcal meningitidis (%58,8), seven had meningococcemia alone. Three patients had trombocytopenia, 8 had coagulopathy. 2 of 3 patients with both trombocytopenia and coagulopathy and 2 of 3 with leukopenia (<5000/mm3) transfered to intensive care unit (1CU). All patients treatment started in first 24 hours after beginning of symptoms.
Conclusion: Early diagnosis, proper antibiotic and agressive supportive therapy keep importance in meningococcemia. Suspicious cases with meningococcal disease must examined carefully and treatment start rapidly and agressively; if necessary patient transfered to 1CU.
Keywords: Meningococcemia, early diagnosis, treatment
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