OBJECTIVE To investigate the efficacy of dexamethasone and oral glycerol in reducing hearing and neurological sequelae in children with acute bacterial meningitis (ABM). DESIGN Prospective double blind, placebo controlled randomized study. SETTING Pediatric services of a tertiary care teaching and referral hospital. SUBJECTS Children 2 months to 12 years with a diagnosis of acute bacteria...

The place of computed tomography and lumbar puncture in suspected bacterial meningitis EDITOR,-We should like to respond to the recently published annotation on the place of computed tomography and lumbar puncture in suspected bacterial meningitis.' The table of contraindications to lumbar puncture in the child with suspected acute bacterial meningitis is welcome and we would agree that lumbar ...

3. Hable, K. A., Logan, G. B., and Washington, J. A.: Three Hemophilus Species. Amer. J. Dis. Child., 121:35, 1971. 4. Knshnaswami, R., Schwartz, J., and Boodish, W.: Pathogenicity of H. parainfluenzae. Pediatrics, 50:498, 1972. 5. Parker, R. H., and Hoeprich, P. D.: Disk method for rapid identification of Hemophilus species. Amer. J. Clin. Path., 37:319, 1962. 6. Smith, E. S.: Purulent meningi...

INTRODUCTION Neisseria meningitidis and Streptococcus pneumoniae are the most frequent pathogens responsible for meningitis beyond the neonatal period. Aseptic meningitis is a disabling condition, but bacterial meningitis if left untreated is 100% fatal. The aim of the study was to analyze the usefulness of biochemical and hematological parameters in distinguishing between bacterial and non-bac...

Meningitis occurs throughout Egypt and is largely attributed to bacterial pathogens, but there is little information on fungal etiologies of meningitis. We, therefore, investigated fungal infections among Egyptian patients with acute and subacute meningitis who tested negative for bacterial and viral agents. A total of 1000 cerebrospinal fluid (CSF) samples collected from nine governorates of E...

655 VALUE OF CEREBROSPINAL FLUID TUMOR NECROSIS FACTOR-ALPHA (TNF-ALPHA) FOR RAPID DIAGNOSIS OF BACTERIAL MENINGITIS By IMAN FAWZY MONTASSER1, EMAN MOHAMED EL-GINDY1, ENAS HASSAN ALLAM1, HOSAM S. ELBAZ2, REHAM ALI AHMED KHALIFA3 AND HANY EL SAYED ALI Departments of Tropical Medicine1, Internal Medicine2, Microbiology and Immunology3, Faculty of Medicine, Ain Shams University, Cairo 11566 and Em...