Pregled bibliografske jedinice broj: 787187
Should brucellosis be a part of differential diagnosis when tuberculous meningitis is predicted with Thwaites or Lancet scoring systems?
Should brucellosis be a part of differential diagnosis when tuberculous meningitis is predicted with Thwaites or Lancet scoring systems? // European Congress on Clinical Microbiology and Infectious Diseases ECCMID 2015
Kopenhagen, Danska, 2015. (poster, međunarodna recenzija, sažetak, ostalo)
CROSBI ID: 787187 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Should brucellosis be a part of differential diagnosis when tuberculous meningitis is predicted with Thwaites or Lancet scoring systems?
Autori
Erdem, Hakan ; Senbayrak, Seniha ; Gencer, Serap ; Gorenek, Levent ; Karahocagil, Mustafa ; Sengoz, Gonul ; Karsen, Hasan ; Kaya, Selcuk ; Civljak, Rok ; Inal, Seza ; Pekok, Abdullah ; Celen, Mustafa ; Deniz, Secil ; Ulug, Mehmet ; Demirdal, Tuna ; Namiduru, Mustafa ; Tekin, Recep ; Guven, Tumer ; Bolukcu, Sibel ; Parlak, Emine ;
Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo
Skup
European Congress on Clinical Microbiology and Infectious Diseases ECCMID 2015
Mjesto i datum
Kopenhagen, Danska, 25.04.2015. - 28.04.2015
Vrsta sudjelovanja
Poster
Vrsta recenzije
Međunarodna recenzija
Ključne riječi
Brucellosis; Tuberculosis; Differential Diagnosis; Scoring System
Sažetak
The Thwaites and Lancet scoring systems have been used in the rapid diagnosis of tuberculous meningitis (TBM). However, brucellar meningoencephalitis (BME) has similar characteristics with TBM. The ultimate aim of this study is to infer data to see if BME should be included in the differential diagnosis of TBM when these two systems suggest the presence of TBM. BME and TBM patients from 35 tertiary hospitals were included in this study. Overall 294 adult patients with BME and 190 patients with TBM were enrolled. All patients involved in the study had microbiological confirmation for either TBM or BME. Finally, the Thwaites and Lancet scoring systems were assessed in both groups. The Thwaites scoring system more frequently predicted BME cases (n = 292, 99.3%) compared to the TBM group (n = 182, 95.8%) (P = 0.017). According to the Lancet scoring system, the mean scores for BME and TBM were 9.43 ± 1.71 and 11.45 ± 3.01, respectively (P < 0.001). In addition, TBM cases were classified into "probable" category more significantly compared to BME cases, and BME cases were categorized into the "possible" category more frequently. When the Thwaites or Lancet scoring systems indicate TBM, brucellar etiology should also be taken into consideration particularly in endemic countries.
Izvorni jezik
Engleski
Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti, Javno zdravstvo i zdravstvena zaštita
POVEZANOST RADA
Ustanove:
Medicinski fakultet, Zagreb,
Klinika za infektivne bolesti "Dr Fran Mihaljević"
Profili:
Rok Čivljak
(autor)