THE RELATIONSHIP BETWEEN CONVULSION AND ACUTE BACTERIAL MENINGITIS
In this study, 176 patients who were diagnosed and treated for acute bacterial meningitis between 1994-1998 in Kartal Research and Education Hospital-Pediatrics Department (in Istanbul) were included. The patients admitted to hospital with convulsion were compared with the patients without convulsion. 39 of 176 patients (22%) were admitted with convulsion as the first symptom. 15 of 39 patients (39%) admitted with convulsion as the first symptom were 0-12 months of age, 10 of 39 patients (25%) were 1-3 years old, 7 of 39 (18%) 3-6 years old and the remaining 7 patients (18 %) were 6-12 years old. 23 of 39 patients (59%) had positive signs of meningeal irritation. All of these patients had fever and they were not treated previously with any anti-bacterial medication. We could not observe any significant difference between the number of cells, protein and glucose levels in cerebrospinal fluid of patients admitted with and without convulsion. As a result, meningitis should be considered seriously and hence a lumbar puncture should be applied to all of the children with fever and convulsion if they have signs of meningeal irritation.