Martín Cordero F, Alvarez Gallego L M, Alvarez Gallego J V, Fernández Muñoz F, Rodríguez Méndez M L, Flores López J, Martínez Toribio F, Rodríguez Adrados J
An Med Interna. 1989 Mar;6(3):137-41.
A retrospective study in patients over 65 years old with acute bacterial meningitis admitted to the internal medicine department of the "Hospital Provincial de Zamora" over the last 25 years, is presented. 43 cases (26.87%) over 65 years old were found, out of 160 cases admitted with ABM during this period. This high prevalence is partially explained because of the large elderly population in this area. The frequent atypical clinical features than can result in the diagnosis being confused with neurological pathology such as CVA (which is common at this age) is noteworthy. The most frequent etiology was meningococos (41.86%), followed by pneumococos (4.6%) and E. Coli (4.6%). We highlight the good prognosis of ABM in the elderly, early diagnosis and the right therapy necessary to achieve it.
本文呈现了一项针对过去25年里在“萨莫拉省立医院”内科住院的65岁以上急性细菌性脑膜炎患者的回顾性研究。在此期间，160例因急性细菌性脑膜炎入院的患者中，发现43例（26.87%）年龄超过65岁。这一高患病率部分归因于该地区老年人口众多。值得注意的是，其临床特征常不典型，可能导致诊断与诸如脑血管意外（在这个年龄段很常见）等神经病理学疾病相混淆。最常见的病因是脑膜炎球菌（41.86%），其次是肺炎球菌（4.6%）和大肠杆菌（4.6%）。我们强调老年急性细菌性脑膜炎的良好预后、早期诊断以及实现良好预后所需的正确治疗。
