AN OVERVIEW ON CLINICAL FORMS AND COMPLICATIONS OF PNEUMOCOCCAL MENINGITIS IN ALBANIAN ADULTS.
Pneumococcal meningitis is one of the most common bacterial meningitis in Albanian adults.
It is a retrospective–descriptive study.We selected 26 cases of pneumococcal meningitis from 94 meningitis hospitalized in ICU of ID service of UHC,during 2015–2019,and analyzed epidemiological data(gender, age group),ranked risk factors by subject,clinical forms based on the severity of symptoms manifested at the time of hospitalization according to the classic triad fever-headache-neck stiffness,with particular focus on short-term complications during hospitalization and long-term within the 1st year of follow-up.
According to the epidemiological aspect males were 14 cases;based on age group:14-20 y -5 cases,21 - 40 yo 3,41-60 yo 5, 61 - 80 yo 10, over 81yo 3cases.Clinical aspect:fulminant 8 cases,acute 12,subacute 6. Identified risk factors: 2 cases of otitis media,3 frontal and maxillary sinusitis,2 splenectomies,3 diabetes mellitus,4 post cranial fractures,2 HIV/AIDS,2 rheumatoid arthritis,3 acute leukemia 1 myeloma under chemotherapy,2 alcoholic cirrhosis,2 COPD. We observed complications in 7 cases:short term complications 1case- septic shock with MODS,1 kidney failure.Long term complications-1 case hearing impairment,1seizures,2 relapses of meningitis,1 memory related problems.Llethality in 3 cases.Etiological diagnosis was established through culture of cerebrospinal fluid and hemocultures.
Pneumococcal vaccine application is valuable in reducing relapse and attenuating disease severity especially those with compromised immunity