Cognitive Impairment in Adults with Good Recovery after Bacterial Meningitis
Adults without neurologic sequelae after bacterial meningitis are supposed to live without restrictions. Neuropsychological outcome was assessed in 51 adults from a prospective cohort with good recovery, defined as Glasgow Outcome Scale score 5, after pneumococcal or meningococcal meningitis. Patien...
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| Veröffentlicht in: | The Journal of infectious diseases 2002-10, Vol.186 (7), p.1047-1052 |
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| container_title | The Journal of infectious diseases |
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| creator | de Beek, Diederik van Schmand, Ben de Gans, Jan Weisfelt, Martijn Vaessen, Heleen Dankert, Jacob Vermeulen, Marinus |
| description | Adults without neurologic sequelae after bacterial meningitis are supposed to live without restrictions. Neuropsychological outcome was assessed in 51 adults from a prospective cohort with good recovery, defined as Glasgow Outcome Scale score 5, after pneumococcal or meningococcal meningitis. Patients who recovered well after pneumococcal meningitis showed cognitive slowness (P=.001). A cognitive disorder was found in 27% of these patients. Patients who previously had meningococcal meningitis were not significantly different from control subjects. Scores on general health and quality of life questionnaires revealed lower scores for patients with meningitis, which were related to cognitive slowing (R −0.46 to −0.38). In conclusion, adults surviving pneumococcal meningitis were at significant risk of neuropsychological abnormalities, even if they were clinically well recovered |
| doi_str_mv | 10.1086/344229 |
| format | Article |
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Neuropsychological outcome was assessed in 51 adults from a prospective cohort with good recovery, defined as Glasgow Outcome Scale score 5, after pneumococcal or meningococcal meningitis. Patients who recovered well after pneumococcal meningitis showed cognitive slowness (P=.001). A cognitive disorder was found in 27% of these patients. Patients who previously had meningococcal meningitis were not significantly different from control subjects. Scores on general health and quality of life questionnaires revealed lower scores for patients with meningitis, which were related to cognitive slowing (R −0.46 to −0.38). In conclusion, adults surviving pneumococcal meningitis were at significant risk of neuropsychological abnormalities, even if they were clinically well recovered</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1086/344229</identifier><identifier>PMID: 12232850</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Adolescent ; Adult ; Aged ; Bacterial diseases ; Bacterial diseases of the nervous system. Bacterial myositis ; Bacterial meningitis ; Biological and medical sciences ; Cognition Disorders - etiology ; Cognitive impairment ; Cohort Studies ; Concise Comunications ; Depressive disorders ; Glasgow Outcome Scale ; Human bacterial diseases ; Humans ; Infectious diseases ; Intelligence ; Medical sciences ; Memory ; Meningitis, Bacterial - complications ; Meningitis, Bacterial - rehabilitation ; Meningococcal meningitis ; Middle Aged ; Neisseria meningitidis ; Neuropsychological Tests ; Neuropsychology ; Pneumococcal meningitis ; Practice Guidelines as Topic ; Prospective Studies ; Quality of Life ; Streptococcus pneumoniae ; T score</subject><ispartof>The Journal of infectious diseases, 2002-10, Vol.186 (7), p.1047-1052</ispartof><rights>Copyright 2002 Infectious Diseases Society of America</rights><rights>2002 by the Infectious Diseases Society of America 2002</rights><rights>2003 INIST-CNRS</rights><rights>Copyright University of Chicago, acting through its Press Oct 1, 2002</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-6ec134574bc9601e026e52271c8a699934ada381fee0fd49e14da69ff3aa09a63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/30084589$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/30084589$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13942087$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12232850$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Beek, Diederik van</creatorcontrib><creatorcontrib>Schmand, Ben</creatorcontrib><creatorcontrib>de Gans, Jan</creatorcontrib><creatorcontrib>Weisfelt, Martijn</creatorcontrib><creatorcontrib>Vaessen, Heleen</creatorcontrib><creatorcontrib>Dankert, Jacob</creatorcontrib><creatorcontrib>Vermeulen, Marinus</creatorcontrib><title>Cognitive Impairment in Adults with Good Recovery after Bacterial Meningitis</title><title>The Journal of infectious diseases</title><addtitle>The Journal of Infectious Diseases</addtitle><addtitle>The Journal of Infectious Diseases</addtitle><description>Adults without neurologic sequelae after bacterial meningitis are supposed to live without restrictions. Neuropsychological outcome was assessed in 51 adults from a prospective cohort with good recovery, defined as Glasgow Outcome Scale score 5, after pneumococcal or meningococcal meningitis. Patients who recovered well after pneumococcal meningitis showed cognitive slowness (P=.001). A cognitive disorder was found in 27% of these patients. Patients who previously had meningococcal meningitis were not significantly different from control subjects. Scores on general health and quality of life questionnaires revealed lower scores for patients with meningitis, which were related to cognitive slowing (R −0.46 to −0.38). In conclusion, adults surviving pneumococcal meningitis were at significant risk of neuropsychological abnormalities, even if they were clinically well recovered</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the nervous system. Bacterial myositis</subject><subject>Bacterial meningitis</subject><subject>Biological and medical sciences</subject><subject>Cognition Disorders - etiology</subject><subject>Cognitive impairment</subject><subject>Cohort Studies</subject><subject>Concise Comunications</subject><subject>Depressive disorders</subject><subject>Glasgow Outcome Scale</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Intelligence</subject><subject>Medical sciences</subject><subject>Memory</subject><subject>Meningitis, Bacterial - complications</subject><subject>Meningitis, Bacterial - rehabilitation</subject><subject>Meningococcal meningitis</subject><subject>Middle Aged</subject><subject>Neisseria meningitidis</subject><subject>Neuropsychological Tests</subject><subject>Neuropsychology</subject><subject>Pneumococcal meningitis</subject><subject>Practice Guidelines as Topic</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Streptococcus pneumoniae</subject><subject>T score</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0V1rFDEUBuAgit1W_QfKKOjd6MnH5OOyLrUtbBW_oHgT0syZmnVmsiYz1f57Z5mlC4J4dS7ehzfkHEKeUHhNQcs3XAjGzD2yoBVXpZSU3ycLAMZKqo05IIc5rwFAcKkekgPKGGe6ggVZLeN1H4Zwg8V5t3EhddgPReiL43psh1z8CsP34jTGuviEPt5gui1cM2Aq3jo_jeDa4gL70F9PHfkRedC4NuPj3TwiX9-dfFmelasPp-fL41XphaZDKdFTLiolrryRQBGYxIoxRb120hjDhasd17RBhKYWBqmop6BpuHNgnORH5NXcu0nx54h5sF3IHtvW9RjHbBUDU2kB_4VUK8qV2Da--Auu45j66RN2WtW0QQnVvs2nmHPCxm5S6Fy6tRTs9gp2vsIEn-3axqsO6z3brX0CL3fAZe_aJrneh7x33AgGWk3u-eziuPn3Y09ns85DTHeKA2hR6W1eznnIA_6-y136YaXiqrJnl9_se6bg8-UFtR_5HyR-ryY</recordid><startdate>20021001</startdate><enddate>20021001</enddate><creator>de Beek, Diederik van</creator><creator>Schmand, Ben</creator><creator>de Gans, Jan</creator><creator>Weisfelt, Martijn</creator><creator>Vaessen, Heleen</creator><creator>Dankert, Jacob</creator><creator>Vermeulen, Marinus</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>20021001</creationdate><title>Cognitive Impairment in Adults with Good Recovery after Bacterial Meningitis</title><author>de Beek, Diederik van ; Schmand, Ben ; de Gans, Jan ; Weisfelt, Martijn ; Vaessen, Heleen ; Dankert, Jacob ; Vermeulen, Marinus</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-6ec134574bc9601e026e52271c8a699934ada381fee0fd49e14da69ff3aa09a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the nervous system. Bacterial myositis</topic><topic>Bacterial meningitis</topic><topic>Biological and medical sciences</topic><topic>Cognition Disorders - etiology</topic><topic>Cognitive impairment</topic><topic>Cohort Studies</topic><topic>Concise Comunications</topic><topic>Depressive disorders</topic><topic>Glasgow Outcome Scale</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Intelligence</topic><topic>Medical sciences</topic><topic>Memory</topic><topic>Meningitis, Bacterial - complications</topic><topic>Meningitis, Bacterial - rehabilitation</topic><topic>Meningococcal meningitis</topic><topic>Middle Aged</topic><topic>Neisseria meningitidis</topic><topic>Neuropsychological Tests</topic><topic>Neuropsychology</topic><topic>Pneumococcal meningitis</topic><topic>Practice Guidelines as Topic</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Streptococcus pneumoniae</topic><topic>T score</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Beek, Diederik van</creatorcontrib><creatorcontrib>Schmand, Ben</creatorcontrib><creatorcontrib>de Gans, Jan</creatorcontrib><creatorcontrib>Weisfelt, Martijn</creatorcontrib><creatorcontrib>Vaessen, Heleen</creatorcontrib><creatorcontrib>Dankert, Jacob</creatorcontrib><creatorcontrib>Vermeulen, Marinus</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Beek, Diederik van</au><au>Schmand, Ben</au><au>de Gans, Jan</au><au>Weisfelt, Martijn</au><au>Vaessen, Heleen</au><au>Dankert, Jacob</au><au>Vermeulen, Marinus</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cognitive Impairment in Adults with Good Recovery after Bacterial Meningitis</atitle><jtitle>The Journal of infectious diseases</jtitle><stitle>The Journal of Infectious Diseases</stitle><addtitle>The Journal of Infectious Diseases</addtitle><date>2002-10-01</date><risdate>2002</risdate><volume>186</volume><issue>7</issue><spage>1047</spage><epage>1052</epage><pages>1047-1052</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><abstract>Adults without neurologic sequelae after bacterial meningitis are supposed to live without restrictions. Neuropsychological outcome was assessed in 51 adults from a prospective cohort with good recovery, defined as Glasgow Outcome Scale score 5, after pneumococcal or meningococcal meningitis. Patients who recovered well after pneumococcal meningitis showed cognitive slowness (P=.001). A cognitive disorder was found in 27% of these patients. Patients who previously had meningococcal meningitis were not significantly different from control subjects. Scores on general health and quality of life questionnaires revealed lower scores for patients with meningitis, which were related to cognitive slowing (R −0.46 to −0.38). In conclusion, adults surviving pneumococcal meningitis were at significant risk of neuropsychological abnormalities, even if they were clinically well recovered</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>12232850</pmid><doi>10.1086/344229</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Bacterial diseases Bacterial diseases of the nervous system. Bacterial myositis Bacterial meningitis Biological and medical sciences Cognition Disorders - etiology Cognitive impairment Cohort Studies Concise Comunications Depressive disorders Glasgow Outcome Scale Human bacterial diseases Humans Infectious diseases Intelligence Medical sciences Memory Meningitis, Bacterial - complications Meningitis, Bacterial - rehabilitation Meningococcal meningitis Middle Aged Neisseria meningitidis Neuropsychological Tests Neuropsychology Pneumococcal meningitis Practice Guidelines as Topic Prospective Studies Quality of Life Streptococcus pneumoniae T score |
| title | Cognitive Impairment in Adults with Good Recovery after Bacterial Meningitis |
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