Resumen

RODRIGUEZ ACOSTA, Jorge A; GONZALEZ IZQUIERDO, Julio A; DIAZ DOMINGUEZ, María de los A  y  HERNANDEZ FERNANDEZ, María V. Complications and therapeutic assessment of the bacterial meningoencephalitis. Rev Ciencias Médicas [online]. 2010, vol.14, n.2, pp. 69-75. ISSN 1561-3194.

A descriptive, longitudinal and prospective study was conducted with patients suffering from bacterial meningoencephalitis at "Abel Santamaria Cuadrado" University Hospital, Pinar del Rio during two years. Complications, paraclinical examinations, treatment and response were screened and tests were applied to assess the comparison of proportions to the same group, independent groups and descriptive statistical techniques to estimate the percentage of the parameters. The majority of the cases were found in the age-bracket between 30-59 years old, followed by the group of ages from 60 to 79. The seizures and brain edema were the most usual neurological complications while pneumonia was the most frequent systemic complication. Finding in the stain of the spinal fluid a Gram-positive diplococcus and in the culture a Streptococcus pneumoniae was verified as the most periodic germen. Cephalosporin of third generation is still the elective medications to start the empiric treatment of the extrahospital bacterial meningoencephalitis.

Palabras clave : bacterial meningoencephalitis; brain edema; pneumonia.