June 1982

Computed Tomography in Purulent Meningitis

Author Affiliations

From the Clinical Unit 7 (Drs Bodino, Del Valle, and Wasserman), Infectious Diseases Division (Dr López), and Neurosurgical Division (Drs Lylyk and Monges), Children's Hospital of Buenos Aires, and the Dr R. Carrea Computed Tomography Center, Foundation for Neurologic Diseases of Children of Buenos Aires (Dr Leiguarda).

Am J Dis Child. 1982;136(6):495-501. doi:10.1001/archpedi.1982.03970420019003

• Of 102 patients with bacterial meningitis admitted to the Children's Hospital of Buenos Aires, 25 were selected for computed tomographic (CT) scans on the basis of altered consciousness for more than 96 hours after admission, persistent or recurrent seizures after 72 hours of antibiotic therapy, development of focal neurologic signs, increased intracranial pressure, or prolonged fever. Scan findings included hydrocephalus, cerebritis, vasculitis, subdural effusion, cerebral atrophy, abscess, and ependymitis. Serial CT scans demonstrated the progression or regression of some complications. The CT scan was very useful in indicating the need for neurosurgical procedures.

(Am J Dis Child 1982;136:495-501)