Outbreak of aseptic meningitis among adults in southern Taiwan

Chih Hsiang Kao; S. S J Lee; Yung Ching Liu; Muh Yong Yen; Yao Shen Chen; Shue R. Wan; Hsi Hsun Lin; Wei R. Lin; Chun K. Huang; Chuen Chin

Outbreak of aseptic meningitis among adults in southern Taiwan

Chih Hsiang Kao, S. S J Lee, Yung Ching Liu, Muh Yong Yen, Yao Shen Chen, Shue R. Wan, Hsi Hsun Lin, Wei R. Lin, Chun K. Huang, Chuen Chin

Research output: Contribution to journal › Article › peer-review

13 Citations (Scopus)

Abstract

A total of 38 adult cases of aseptic meningitis were diagnosed based on clinical manifestations as well as examination of cerebrospinal fluid at Kaohsiung Veterans General Hospital in 2001. The majority (31 cases, 82%) of cases occurred between June and August, and most (33 cases, 87%) of them aged from 18 to 35 years (median age, 25 years). The male-to-female ratio was 2.16: 1. Common clinical presentations included headache, fever, nausea or vomiting, and symptoms of common cold. On initial cerebrospinal fluid examination, white cell counts were above 500 cells/mm³ in 7 (18%) cases, and neutrophils predominated in 10 (28%) of 36 cases. The cerebrospinal fluid protein concentration was below 100 mg/dL in 29 (77%) of 38 cases, and hypoglycorrhachia (cerebrospinal fluid/serum glucose ratio 2 = 12.05, p=0.007). All patients were discharged uneventfully without receiving antibiotic therapy.

Original language	English
Pages (from-to)	192-196
Number of pages	5
Journal	Journal of Microbiology, Immunology and Infection
Volume	36
Issue number	3
Publication status	Published - Sept 2003
Externally published	Yes

Keywords

Adult
Aseptic meningitis
Echovirus
Outbreak
Taiwan

ASJC Scopus subject areas

Immunology and Microbiology(all)
Immunology and Allergy
Microbiology (medical)

Cite this

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title = "Outbreak of aseptic meningitis among adults in southern Taiwan",

abstract = "A total of 38 adult cases of aseptic meningitis were diagnosed based on clinical manifestations as well as examination of cerebrospinal fluid at Kaohsiung Veterans General Hospital in 2001. The majority (31 cases, 82%) of cases occurred between June and August, and most (33 cases, 87%) of them aged from 18 to 35 years (median age, 25 years). The male-to-female ratio was 2.16: 1. Common clinical presentations included headache, fever, nausea or vomiting, and symptoms of common cold. On initial cerebrospinal fluid examination, white cell counts were above 500 cells/mm3 in 7 (18%) cases, and neutrophils predominated in 10 (28%) of 36 cases. The cerebrospinal fluid protein concentration was below 100 mg/dL in 29 (77%) of 38 cases, and hypoglycorrhachia (cerebrospinal fluid/serum glucose ratio 2 = 12.05, p=0.007). All patients were discharged uneventfully without receiving antibiotic therapy.",

keywords = "Adult, Aseptic meningitis, Echovirus, Outbreak, Taiwan",

author = "Kao, {Chih Hsiang} and Lee, {S. S J} and Liu, {Yung Ching} and Yen, {Muh Yong} and Chen, {Yao Shen} and Wan, {Shue R.} and Lin, {Hsi Hsun} and Lin, {Wei R.} and Huang, {Chun K.} and Chuen Chin",

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AU - Kao, Chih Hsiang

AU - Lee, S. S J

AU - Liu, Yung Ching

AU - Yen, Muh Yong

AU - Chen, Yao Shen

AU - Wan, Shue R.

AU - Lin, Hsi Hsun

AU - Lin, Wei R.

AU - Huang, Chun K.

AU - Chin, Chuen

PY - 2003/9

Y1 - 2003/9

N2 - A total of 38 adult cases of aseptic meningitis were diagnosed based on clinical manifestations as well as examination of cerebrospinal fluid at Kaohsiung Veterans General Hospital in 2001. The majority (31 cases, 82%) of cases occurred between June and August, and most (33 cases, 87%) of them aged from 18 to 35 years (median age, 25 years). The male-to-female ratio was 2.16: 1. Common clinical presentations included headache, fever, nausea or vomiting, and symptoms of common cold. On initial cerebrospinal fluid examination, white cell counts were above 500 cells/mm3 in 7 (18%) cases, and neutrophils predominated in 10 (28%) of 36 cases. The cerebrospinal fluid protein concentration was below 100 mg/dL in 29 (77%) of 38 cases, and hypoglycorrhachia (cerebrospinal fluid/serum glucose ratio 2 = 12.05, p=0.007). All patients were discharged uneventfully without receiving antibiotic therapy.

AB - A total of 38 adult cases of aseptic meningitis were diagnosed based on clinical manifestations as well as examination of cerebrospinal fluid at Kaohsiung Veterans General Hospital in 2001. The majority (31 cases, 82%) of cases occurred between June and August, and most (33 cases, 87%) of them aged from 18 to 35 years (median age, 25 years). The male-to-female ratio was 2.16: 1. Common clinical presentations included headache, fever, nausea or vomiting, and symptoms of common cold. On initial cerebrospinal fluid examination, white cell counts were above 500 cells/mm3 in 7 (18%) cases, and neutrophils predominated in 10 (28%) of 36 cases. The cerebrospinal fluid protein concentration was below 100 mg/dL in 29 (77%) of 38 cases, and hypoglycorrhachia (cerebrospinal fluid/serum glucose ratio 2 = 12.05, p=0.007). All patients were discharged uneventfully without receiving antibiotic therapy.

KW - Adult

KW - Aseptic meningitis

KW - Echovirus

KW - Outbreak

KW - Taiwan

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Outbreak of aseptic meningitis among adults in southern Taiwan

Abstract

Keywords

ASJC Scopus subject areas

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