RESUMO
Cerebrospinal fluid (CSF) analysis for free, bound and total N-Acetyl Neuraminic Acid (NANA) as well as serum NANA was done in 68 patients of bacterial meningitis, of which 37 cases were of pyrogenic meningitis and 31 of tuberculous meningitis. Ten patients were included in the control group. The free NANA levels were increased in only pyogenic meningitis, independent of protein levels but the bound form increased with the increase in CSF proteins. The increase of free NANA in CSF of pyogenic meningitis patients was not related to the cell count or sugar content in CSF or to the duration or severity of illness. This finding can be of great help in differentiating cases of pyogenic meningitis, particularly partially treated patients, who may have ambiguous pictures of CSF analysis, from the cases of tuberculous meningitis.
Assuntos
Infecções Bacterianas/líquido cefalorraquidiano , Meningite/líquido cefalorraquidiano , Ácidos Siálicos/líquido cefalorraquidiano , Tuberculose Meníngea/líquido cefalorraquidiano , Infecções Bacterianas/sangue , Infecções Bacterianas/diagnóstico , Criança , Diagnóstico Diferencial , Humanos , Meningite/sangue , Meningite/diagnóstico , Ácido N-Acetilneuramínico , Valores de Referência , Ácidos Siálicos/sangue , Fatores de Tempo , Tuberculose Meníngea/sangue , Tuberculose Meníngea/diagnósticoRESUMO
A study was undertaken to compare the effects of exposure to the toxic gas in pregnant women in Bhopal with pregnant women in a similar, unexposed area. A high incidence of spontaneous abortions (24.2%) in the pregnant women exposed to the toxic gas was observed as compared to those in the control area (5.6%). Other indices of adverse reproductive outcome, such as the rate of still birth and congenital malformation were not found to be different. The perinatal and neonatal mortalities were significantly higher in the affected area (6.9 and 6.1% respectively), as compared to the control area (5.0 and 4.5% respectively).
