Fever during treatment for bacterial meningitis

Tzou Yien Lin, John D. Nelson, George H. McCracken

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

The records of 476 infants and children with bacterial meningitis treated between 1979 and 1982 were reviewed. By the sixth hospital day 90% or more of children with pneumococcal or meningococcal infection compared with 72% of children with Haemophilus infection (P < 0.001) were afebrile. The rates of prolonged fever for 10 days or more, persistent fever for 5 to 9 days and secondary fever were 13, 13 and 16%, respectively. The conditions associated with prolonged fever for 10 days or more were subdural effusion (27%), drug fever (23%) and concomitant arthritis or pneumonia (20%); 15% were of indeterminable cause. The principal conditions associated with persistent fever for 5 to 9 days were other foci of disease (17%), nosocomial infections (16%) and subdural effusion (14%); in 42% the cause was unknown. The conditions associated with secondary fever were nosocomial infections (27%) and subdural effusion (23%); 39% were of indeterminable cause. Neither the duration nor the patterns of fever correlated with neurologic abnormalities at discharge, including hearing deficit.

Original languageEnglish
Pages (from-to)319-322
Number of pages4
JournalPediatric Infectious Disease
Volume3
Issue number4
Publication statusPublished - 1984
Externally publishedYes

Fingerprint

Bacterial Meningitides
Fever
Subdural Effusion
Therapeutics
Cross Infection
Haemophilus Infections
Meningococcal Infections
Nervous System Malformations
Pneumococcal Infections
Hearing
Arthritis
Pneumonia

ASJC Scopus subject areas

  • Microbiology (medical)
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)
  • Infectious Diseases

Cite this

Lin, T. Y., Nelson, J. D., & McCracken, G. H. (1984). Fever during treatment for bacterial meningitis. Pediatric Infectious Disease, 3(4), 319-322.

Fever during treatment for bacterial meningitis. / Lin, Tzou Yien; Nelson, John D.; McCracken, George H.

In: Pediatric Infectious Disease, Vol. 3, No. 4, 1984, p. 319-322.

Research output: Contribution to journalArticle

Lin, TY, Nelson, JD & McCracken, GH 1984, 'Fever during treatment for bacterial meningitis', Pediatric Infectious Disease, vol. 3, no. 4, pp. 319-322.
Lin, Tzou Yien ; Nelson, John D. ; McCracken, George H. / Fever during treatment for bacterial meningitis. In: Pediatric Infectious Disease. 1984 ; Vol. 3, No. 4. pp. 319-322.
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