Abstract

DIAZ ALVAREZ, Manuel  and  CARDENAS GONZALEZ, Luena. Aseptic meningitis concomitant with urinary tract infection in newborns. Rev Cubana Pediatr [online]. 2011, vol.83, n.2, pp.130-141. ISSN 0034-7531.

INTRODUCTION. Papers recently published have emphasized the finding of the aseptic meningitis (AM) in small infants, concomitant with a urinary tract infection (UTI). The aim of present research was to determine the frequency of this type of presentation. METHODS. A retrospective and descriptive study was conducted including 626 newborns presenting with UTI, admitted in the "Juan Manuel Márquez" University Children Hospital between February, 1992 and December, 2008 who underwent a lumbar puncture. The AM and UTI frequency was compared with informed reports in medical literature. RESULTS. The frequency of AM concomitant with UTI was of 7.0% (95% CI. 4,9-9,1%). The mean results of cytochemical examination of cerebrospinal fluid (CSF) showed that pleocytosis was the more remarkable indicator among those usually measured. The frequency found was similar to that of international reports. CONCLUSIONS. It is interesting the incidence of AM concomitant with UTI in newborns and in concordance with that reported at international level. The AM and UTI concomitant feature may be multifactor, and it is possible the presence of causal factors in some patients or casual in other cases.

Keywords : Viral meningitis; aseptic meningitis; cerebrospinal fluid; urinary tract infection; newborns; fever.

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