MENINGITE RECURENTE.

Introduction. Bacterial meningitis is caused by a variety of germs, of which Gram positive bacteria (Streptococcus pneumonie, Streptococcus agalactie, Stafilococcus aureus, Lysteria monocitogenes) caused severe forms of the diseases with neurological complications, recurrent diseases and death. Pneumococcal meningitis can affect all age groups, especially, young children, elderly and immunocompromised persons. The incidence in worldwide is about 47%, only in USA 13-17%. Cranial trauma and otolaryngologic diseases are associated with recurrent meningitis. Objective. To analyzed the incidence of pneumococcal meningitis, especially recurrent, risk factors and their evolution under treatment. Matherial and method. Retrospectiv study on 324 patients diagnosed with pneumococcal meningitis in Clinical Hospital of Infectious Diseases Constanta in the last five years. Results. From 220 patients with different bacterial etiology, 66 patients (30%) have pneumococcal meningitis and 8 patients recurrent meningitis. The risk factors were cranial trauma (4 cases), chronic otitis (2 cases), chronic otomastoiditis (1 case) and chronic maxillary sinusitis (1 case). Two patients died and one patient complicated with hearing loss. Conclusions. Despite the therapeutic and diagnostic progress, pneumococcal meningitis remained severe diseases, with high risk of neurological sequels and fatality. We notice a low sensibility of Streptococcus pneumonie in recurrent meningitis. [ABSTRACT FROM AUTHOR]