From: Characteristics and outcome of spontaneous bacterial meningitis in patients with diabetes mellitus
Characteristics | Diabetic Patients (n = 106) | Other Patients (n = 609) | P value |
---|---|---|---|
Male sex | 53 (50) | 298 (48.9) | 0.916 |
Age – years, median (IQR) Recurrent meningitis | 67 (17) 6 (5.7) | 49 (40) 26 (4.3) | < 0.001 0.455 |
Comorbid conditionsa | 106 (100) | 284 (46.6) | < 0.001 |
• Hypertension | 19 (17.9) | 61 (10) | 0.028 |
• Cancer | 17 (16) | 89 (14.8) | 0.541 |
• Chronic lung diseaseb | 13 (8.2) | 39 (6.4) | 0.098 |
• Alcoholism | 11 (7.2) | 55 (9) | 0.210 |
Charlson comorbidity index ≥3 | 42 (39.6) | 90 (14.8) | < 0.001 |
Distant focus of infection | 41 (38.7) | 200 (32.8) | 0.266 |
Route of acquisition | |||
• Hospital-acquired (vs. community-acquired) | 4 (3.8) | 28 (4.6) | 1.000 |
Symptoms on presentation | |||
• Fever | 100 (94.3) | 579 (95.1) | 0.849 |
• Altered mental status | 83 (78.3) | 383 (62.9) | 0.009 |
• Neck stiffness | 59 (55.7) | 458 (75.2) | < 0.001 |
• Triad of fever, neck stiffness, and change in mental status | 44 (41.5) | 282 (46.3) | 0.577 |
• Headache | 44 (41.5) | 473 (77.7) | < 0.001 |
• Nausea and/or vomiting | 34 (32.1) | 340 (55.8) | < 0.001 |
• Focal neurological deficits | 25 (23.6) | 100 (16.4) | 0.095 |
• Coma | 21 (19.8) | 94 (15.4) | 0.254 |
• Seizures | 10 (9.4) | 49 (8) | 0.819 |
• Rash | 13 (12.3) | 160 (26.3) | 0.007 |
• Systolic blood pressure – mm Hg (SD) | 140 (32) | 128 (30) | < 0.001 |
• Diastolic blood pressure – mm Hg (SD) | 80 (19) | 75 (20) | 0.004 |
Interval symptoms-admission, hours (IQR) | 25 (51.7) | 24 (28) | 0.184 |
Interval admission-therapy, hours (IQR) Prior antimicrobial therapy Cerebral computed tomography | 4 (9) 28 (26.4) 45 (42.5) | 3 (8) 185 (30.4) 192 (31.5) | 0.821 0.647 0.039 |
White blood cell count, median (IQR) | 15,025 (8525) | 15,300 (10650) | 0.704 |
Platelet count/mm3, median (IQR) | 206,000 (252275) | 189,500 (120750) | 0.715 |