The evaluation of patients diagnosed with mumps meningoencephalitis

Objective: We investigated the demographic and clinical characteristics of the patients diagnosed with mumps meningoencephalitis
in the clinic of Pediatric Infectious Diseases at Þiþli Etfal Training and Research Hospital.
Methods and Material: 121 patients diagnosed with mumps meningoencephalitis at our hospital have been evaluated retrospectively
between Jan 2004-Dec 2007.
Results: The number of patients hospitalized was 11 in 2004, 12 in 2005 versus 48 in 2006 and 50 in 2007. In June 2006, national immunization had started with inclusion Measles-MumpsRubella (MMR) vaccine to the National Immunization Schedule. This year’s data based on immunization records of diagnosed patients revealed the fact that, while patients till 2007 were nonimmunized, 38% of diagnosed patients was immunized twice, 32% of diagnosed patients was immunized once and that 22% of patients was nonimmunized. The complaints in order of frequency were fever in 100%, vomiting in 90%, headache in 57.8% and abdominal pain in 9.9% of
patients. 70% of patients have had stiffness, 44.6% positive Kerning-Brudzinsky and 5.7% convulsion.
Conclusion: The immunization should be realized all over the country. The incidence of meningoencephalitis which is the most important complication of mumps, should be of consideration even among children immunized with mumps.

Kliniðimizde izlenen kabakulak meningoensefalitli olgularýn deðerlendirilmesi

Amaç: Þiþli Etfal Eðitim ve Araþtýrma Hastanesi Çocuk Enfeksiyon Servisinde kabakulak meningoensefaliti tanýsý ile izlenen
hastalarýn demografik ve klinik özelliklerini inceledik.
Gereç ve Yöntem: Ocak 2004- Aralýk 2007 tarihleri arasýnda kabakulak meningoensefaliti tanýsý ile yatýrýlarak izlenen 121
hasta retrospektif olarak deðerlendirildi.
Bulgular: 2004-2007 yýllarý arasýnda yatýrýlan hasta sayýsý sýra ile 11, 12, 48 ve 50 olarak bulundu. 2006 yýlýnýn Haziran
ayýnda Kýzamýk-Kýzamýkçýk-Kabakulak aþýsý ile aþýlama tüm ülkede baþladý. 2006 yýlýnýn sonuna dek hastalarýn hiçbiri aþýlanmamýþ
iken 2007 yýlýnda hastalarýn %38’i iki kez, %32’si ise bir kez aþýlanmýþtý. Hastalarda sýklýk sýrasýna göre %100 ateþ,%90 kusma,%57.8 baþ aðrýsý ve %9.9 karýn aðrýsý þikâyetleri gözlendi. Yapýlan fizik muayenelerinde hastalarýn %70.2’sinde ense sertliði,%44.6’sýnda Kerning ve Brudzinsky pozitifliði,%5.7’sinde ise konvülziyon vardý.
Sonuç: Aþýlamanýn tüm topluma yayýlmasý ile kabakulak oranlarýnda önemli bir azalma saðlanabilir. Bununla birlikte en
önemli komplikasyonu olan meningoensefalitin aþýlanmýþ çocuklarda da görülebileceði düþünülmelidir. Aþýnýn kabakulak
meningoensefalitini önlemedeki etkinliði hakkýnda daha geniþ çaplý araþtýrmalara ihtiyaç vardýr.