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Fırat Tıp Dergisi
2008, Cilt 13, Sayı 3, Sayfa(lar) 191-193
[ Turkish ] [ Tam Metin ] [ PDF ]
Level of Ionized Calcıum In Patients Having Bacterial and Voral Meningitis At Icu
Mehmet Akif YAŞAR, Muhammed DEMİRCİ, Fatma GEDİK, Esef BOLAT
Fırat Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, ELAZIĞ

Objectives: The previous studies have been shown that ionized hypocalcemia is related to mortality and APACHE II score. Our goal was to evaluate the levels of serum ionized calcium (iCAL) in patients with bacterial and viral meningitis at ICU.

Materials and Methods: 30 patients diagnosed as meningitis syndrome in ICU were reviewed retrospectively for their levels of iCAL. The patients were divided into bacterial (Group I) and viral meningitis (Group II) groups.

Results: There was no difference in demographic data, treatment periods at ICU and superinfection periods of groups. When they came to ICU, levels of iCAL and APACHE II scores were respectively 0.665 ± 0.145 and 20.8 ± 13.3 in group I and 1.052 ± 0.107 and 28.3 ± 13.3 in group II. The statistical difference between two groups was significant (p<0.05). After the superinfection occurred, levels of the iCAL were detected as 0.702 ± 0.29 in group I and 0.690 ± 0.102 in group II. The decrease in group II was statistically significant (p<0.05).

Conclusion: In our study we found that ionized hypocalcemia was often seen in patients at ICU. While the levels of iCAL were low in Group I when they came to ICU, these were normal in Group II, but in following days the levels of iCAL decreased after the occurence of bacterial superinfection in Group II. While there is an inverse correlation between levels of the iCAL and APACHE II score for the Group I, there is no correlation between these levels in Group II. ©2008, Firat University, Medical Faculty.


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