Mbak, imunisasi untuk meningitis namanya HIB, sebaiknya pada usia 2 bulan bayi sudah
diberikan imunisasi HIB yang pertama. Keterangan lengkap mengenai imunisasi ini bisa
mbak liat di homepage : www.dokteranak.or.id
Di situ lengkap keterangan mengenai jadwal berbagai imunisasi sampai anak usia 2 tahun.
Kalo efek samping badan jadi panas seperti pada DPT, pada HIB tidak. Efek samping
lainnya rasanya tidak ada ya...sama saja seperti imunisasi lainnya.
Semoga keterangan ini bermanfaat.
salam
mama jonathan
On Tue, 14 Dec 1999 15:03:38 Lily Trisna Dewi wrote:
>Rekan netters,
>Saya ingin tahu lebih banyak mengenai meningitis ini.
>Umur berapa anak siap di suntik imun meningitis ini ?
>Apakah ada efek samping dari imunisasi tsb ?
>
>Terima kasih
>
>
>
>Imelda Pasni wrote:
>
>> Aseptic meningitis after treatment with amoxicillin
>>
>> W Czerwenka, C Gruenwald, D Conen.
>> Department of Internal Medicine, Canton Hospital, CH-5001 Aarau, Switzerland
>>
>> The development of aseptic meningitis has been associated with various
>> drugsfor example, non-steroidalanti-inflammatory drugs, ranitidine,
>> carbamazepine, vaccines against hepatitis B and mumps, immunoglobulins,
>> co-trimoxazole,and penicillin.1-5 We report a case of aseptic meningitis
>> after treatment with amoxicillin.
>>
>> A 76 year old woman was admitted to our hospital with fever, headache, and
>> neck stiffness. Five days before admission shehad had a pretibial wound
>> treated with amoxicillin-clavulanic acid. Long term treatment with aspirin,
>> enalapril, and levothyroxine(thyroxine) had not been changed in the
>> previous month. Two days before admission she had developed fever,
>> headache, andneck ache.
>>
>> On admission her general condition was poor, but findings on physical
>> examination were normal except for neck stiffness. Alllaboratory findings
>> were within the normal range. Cerebrospinal fluid showed pleocytosis with
>> 63 cells (62 monocytes) and aslightly raised protein concentration of 0.47
>> g/l (0.15-0.45 g/l). No micro-organisms were found. She recovered with
>> treatment
>> of symptoms.
>>
>> >From her history we knew of two similar episodes in 1992 and 1995. Twelve
>> and 6 days respectively after the initiation ofantibiotic treatment with
>> amoxicillin (with and without clavulanic acid), she had been admitted to
>> our hospital with the same symptoms of fever, headache, and neck stiffness.
>> Cerebrospinal fluid had been examined during the first admission and also
>> showed pleocytosis with 40 cells (38 monocytes) without an increase in
>> protein concentration. No bacterial micro-organisms or serological signs of
>> neurotropic viral infections had been found.
>> On the basis of these three confirmed episodes of meningitis after
>> recurrent exposure to amoxicillin, with and without clavulanic acid, with
>> repetitive negative testing for viral, bacterial, and mycobacterial
>> micro-organisms, we diagnosed aseptic meningitis induced by amoxicillin. To
>> our knowledge, this is the first well documented publication of such a
>> severe side effect of a commonly used antibiotic.
>>
>> The exact mechanism for the development of aseptic meningitis induced by
>> drugs is not known, although hypersensitivity reactions and immunological
>> mechanisms have been suggested.5
>>
>> References
>> 1. Weksler BB, Lehany AM. Naproxen-induced recurrent aseptic meningitis.
>> Drug Intelligence and Clinical Pharmacy 1991; 25: 1183-1184.
>> 2. Dang CT, Riley DK. Aseptic meningitis secondary to carbamazepine
>> therapy. Clin Infect Dis 1996; 22: 729-730[Medline].
>> 3. Durand JM, Suchet L. Ranitidine and aseptic meningitis. BMJ 1996; 312:
>> 886.
>>
>> 4. Sekul EA, Cupler EJ, Dalakas MC. Aseptic meningitis associated with
>> high-dose intravenous immunoglobulin therapy: frequency and risk factors.
>> Ann Intern Med 1994; 121: 259-262[Medline].
>> 5. River Y, Averbuch-Heller L, Weinberger M, Meiner Z, Mevorach D,
>> Schlesinger I, et al. Antiobiotic induced meningitis. J Neurol Neurosurg
>> Psychiatry 1994; 57: 705-708[Abstract].
>>
>> ------------------------------------------------------------------------
>>
>> ) British Medical Journal 1999
>>
>> A second case of recurrent aseptic meningitis due to amoxicillin
>> Tony Reiman, Assistant Chief Medical Resident , Dalhousie Uinversity
>> eBMJ, 5 Jun 1999 [Response]
>>
>> A second case of recurrent aseptic meningitis due to amoxicillin
>> I recently admitted a 50 year old woman to the hospital with a 12 hour
>> history of fever, headache, nausea/vomiting and conjunctival injection. She
>> had recently been diagnosed with mitral regurgitation, and had been to the
>> dentist that morning. She had taken oral amoxicillin prior to her dental
>> cleaning as prophylaxis against endocarditis. Lumbar puncture on the night
>> of admission revealed a white blood cell count of over 600 white cells per
>> high power field, predominantly neutrophils, with a normal glucose level
>> and a protein level twice the upper limit of normal. Gram's stain and
>> culture of the CSF were negative, although the patient was initially
>> treated with antibiotics because of the high CSF neutrophil count. A repeat
>> lumbar puncture several days later revealed a modest pleocytosis with a
>> predominance of monocytes. This patient had two previous episodes of a
>> similar nature.
>> Two years previously, she had been admitted with aseptic meningitis that
>> followed the administration of amoxicillin for an upper respiratory tract
>> infection. One year prior to that, she had been diagnosed with a serum
>> sickness related to oral cefuroxime; in retrospect, it was clear that she
>> had received amoxicillin before developing this illness as well. The
>> patient was discharged home in good condition after bacterial meningitis
>> had been ruled out. I believe that this woman had an adverse reaction to
>> amoxicillin, just as your patient did. One of our junior residents
>> performed a computer search for other cases of amoxicillin-induced
>> meningitis, and tells me that one other case in Sweden has been reported
>> previously.
>>
>> 7 June 1999
>>
>> Tony Reiman,
>> Assistant Chief
>> Medical Resident
>> Dalhousie
>> Uinversity
>>
>> Send response to journal:
>> Re: A second case of recurrent aseptic meningitis due to amoxicillin
>>
>> Email Tony Reiman: [EMAIL PROTECTED]
>>
>> Wassalam,
>>
>> satriono
>> URL:
>> http://www.geocities.com/HotSprings/Spa/7430/index.htm
>> http://www.unhas.ac.id/~satriono/
>> http://members.tripod.com/~satriono/index.html
>>
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