الفهرس 
Epidemiology
pneamococcal meningitisOnly 14 pages are availabe for public view
 |  | from | 159 |  |  |
| | | from | 159 | | |
Abstract
ded dily
Central nervous system Lnfections can be divi
into several categories that usually can be rea
distinguished from each other by cerebrospinal
fluid examination as the first step toward etiologic diagnosis.
A) Purulent Meningitis: Due to infection with meningo cocci, pneumococci, streptococci,
Haemophilus inf luenzae, staphylococci, and other pyogenic organ isms.
B) Granulomatous meningitis: Due to Mycobacterium tuberculosio; cocc:Ldioidea, crytococcus,
Histopla sma, and other fungi, or Treponema pallidum.
C) Aseptic meningitio : Aseptic meningitis is amuch more benign form of Meningitis caused
principally by viruses.
D) Encephalitis: Due to herpesviruses, orboviruses,
h) Fart ally ’l’reuted Bacterial Jileningit s;
F) Meningitis in the Neonate: in newborn infants, meningitis presents as atotally separate
entity.
111
lt is often accompanies i:H:J>t i eenliu, (orten caused by gram - negative rods or group B Beta -
hemol ytic stl•ptococci).
G) Non infectious meningeal irritation: hleningismus, presenting with the classic signs of
Meningeal irr itation with totally normal cerebrospinal fluid findings.
H) ”Neighborhood” Reaction: As noted in process in close proximity to the central nervous system
that spills some of the products oJ the inflammatory pro cess into the cerebrospinal fluid.
Infectious diseases cause brain dysfunction either by directly invading brain tissue or by produ
cing toxic, hypoxic, or allergic effects from an infection elsewhere in the Body. Mental and
behaviaral changes often result • Although they are nonspecific and unrelated to the specific
pathogen.
N’uld effects - ouch as i1Tj.tability 1 insomnia, and resth·ssness - may appear early in tbe
illness but subside completely if the infection is overcome rapidly with progression of tbe
infection, more severe changes
112
can devulop, inc;lur.!inl_; combu t.i vuness visunl ballucl nations, impaired memory, and such
alterations in consciousness as lethargy, drowsiness, stupor, and c;oma. Ordinarily, those
manifestations disappear as
the infection is braught under control but changes of personality and intellect sometimes persist
as sequ elae of the infection. for example, viral encephalitis is often followed by subjective
symptoms, such as nervousness, irritability, lassitude, and defective memary. Meni agitis and
encephalitis are followed by more severe sequelae. Such as mental retardition, dementia, and
marked instability of emotions and pers onality.
Thirty children, aged between 6 - 12 years, were admitted to Dearp Begm hospital ” fever Unit ”
with diagnosis by Meningitis, encephalitis or Meningoenceph
alitis, during tlle last 7 years, these case were
considered as sample group.
Another }0 children aged between 6 - 12 years, were chosen randomly as control group, Both groups
were examined by:
1) History taking from the parents and the teach- ers •
113
2) Psyct1iatric examination.
3) Medical examination.
4) l’sycbometry feuting (:Perdonnlity annessment and I. Q” testing.
5) Academic assessment.
from the previous stud.Y we conclude that meningitis
Meningoencephalitis, encephalitis, academic achivement, behaviour of abilit.Y and I. Q. of the
children.
has an e1’fect on the
the childre, mental
this
To prevent diseases by
this la e sequelae, prevention of chem0prophylaxis and vaccination ,
lu.ge (2:?,32 ), (the pre,_,ntion of this diseases should now be aprime goal), T:c<Jatment of the
acute Braine syndrome Page (66), and treatment of the late compli cation by psychotherapy
for oLildren and their parents, remedial education in sm«ll classes from which the chi ld move to
normal class s as soon as possible, and special remedial teaching technique ,