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原发性阿米巴脑膜脑炎(PAM)首先由Fowler和Carter于1965年在澳大利亚报导,其4例中3例为儿童。此后,美国、比利时、捷克、新西兰不断有病例发现。1970年美国报告首例生前作出诊断者,并发现脑脊液(CSF)中有阿米巴原虫(耐格里属)。本文较全面地描述了另1例患儿的临床及病理变化。病例报告 11岁女孩,因头痛3天,发热、呕吐和视力模糊1天入院。入院前6天曾有温泉游泳史。体检:体温38.5℃,嗜睡、项稍强直,余均阴性。化验:血红蛋白13.4％,白细胞20,400/mm~3,中性
Primary amoebic meningoencephalitis (PAM) was first reported by Australia in 1965 by Fowler and Carter and 3 of 4 children were children. Since then, the United States, Belgium, the Czech Republic, New Zealand continue to have cases found. In 1970, the United States reported the first case of a diagnosed person during its lifetime and found that there were amoebae (Nepalese) in cerebrospinal fluid (CSF). This article provides a more complete description of the clinical and pathological changes in another child. Case report 11-year-old girl admitted to hospital for 1 day due to headache for 3 days, fever, vomiting and blurred vision. Six days before admission, there was a hot spring swimming history. Physical examination: body temperature 38.5 ℃, lethargy, item slightly stiff, more than negative. Assay: hemoglobin 13.4%, white blood cells 20,400 / mm ~ 3, neutral