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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Antimicrob+Agents+Chemother
2015 ; 59
(6
): 3084-9
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English Wikipedia
Results of a multinational study suggest the need for rapid diagnosis and early
antiviral treatment at the onset of herpetic meningoencephalitis
#MMPMID25779579
Erdem H
; Cag Y
; Ozturk-Engin D
; Defres S
; Kaya S
; Larsen L
; Poljak M
; Barsic B
; Argemi X
; Sørensen SM
; Bohr AL
; Tattevin P
; Gunst JD
; Ba?táková L
; Jereb M
; Johansen IS
; Karabay O
; Pekok AU
; Sipahi OR
; Chehri M
; Beraud G
; Shehata G
; Del Vecchio RF
; Maresca M
; Karsen H
; Sengoz G
; Sunbul M
; Yilmaz G
; Yilmaz H
; Sharif-Yakan A
; Kanj SS
; Parlak E
; Pehlivanoglu F
; Korkmaz F
; Komur S
; Kose S
; Ulug M
; Bolukcu S
; Coskuner SA
; Ince N
; Akkoyunlu Y
; Halac G
; Sahin-Horasan E
; Tireli H
; Kilicoglu G
; Al-Mahdawi A
; Nemli SA
; Inan A
; Senbayrak S
; Stahl JP
; Vahaboglu H
Antimicrob Agents Chemother
2015[]; 59
(6
): 3084-9
PMID25779579
show ga
Data in the literature regarding the factors that predict unfavorable outcomes in
adult herpetic meningoencephalitis (HME) cases are scarce. We conducted a
multicenter study in order to provide insights into the predictors of HME
outcomes, with special emphasis on the use and timing of antiviral treatment.
Samples from 501 patients with molecular confirmation from cerebrospinal fluid
were included from 35 referral centers in 10 countries. Four hundred thirty-eight
patients were found to be eligible for the analysis. Overall, 232 (52.9%)
patients experienced unfavorable outcomes, 44 died, and 188 survived, with
sequelae. Age (odds ratio [OR], 1.04; 95% confidence interval [CI], 1.02 to
1.05), Glasgow Coma Scale score (OR, 0.84; 95% CI, 0.77 to 0.93), and symptomatic
periods of 2 to 7 days (OR, 1.80; 95% CI, 1.16 to 2.79) and >7 days (OR, 3.75;
95% CI, 1.72 to 8.15) until the commencement of treatment predicted unfavorable
outcomes. The outcome in HME patients is related to a combination of therapeutic
and host factors. This study suggests that rapid diagnosis and early
administration of antiviral treatment in HME patients are keys to a favorable
outcome.