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鼠伤寒杆菌引起的成人脑膜炎至今未见报道。本文报道1例。女,65岁。患成年型糖尿病,因腹泻、呕吐3天而住院。病人发热(39℃)、头痛、意识障碍、脱水及半昏迷。颈项明显强直,且有水平和垂直性眼球震颤以及左侧轻度 Horner 征。脑脊液混浊,细胞数明显增多(4,600/mm~3),蛋白定量>10g/L。脑脊液糖浓度339mg%,血糖609mg%。显微镜检查未找到细菌。临床诊断为细菌性脑膜炎。并开始抗菌治疗,静脉给予大剂量苄青霉素、庆大霉素和灭滴灵。周围白细胞计数12,300/mm~3,中性多核占80%。胸、腹、骨盆、头颅以及颈和腰椎 X
Salmonella typhimurium caused by adult meningitis has not been reported. This article reports a case. Female, 65 years old. With adult diabetes, due to diarrhea, vomiting and hospitalization for 3 days. Patient fever (39 ° C), headache, disturbance of consciousness, dehydration and semi-coma. Obvious neck stiffness, and horizontal and vertical nystagmus and left mild Horner syndrome. Cerebrospinal fluid cloudy, the number of cells was significantly increased (4,600 / mm ~ 3), protein quantification> 10g / L. Cerebrospinal fluid sugar concentration 339mg%, blood sugar 609mg%. Microscopic examination found no bacteria. Clinical diagnosis of bacterial meningitis. And began antibacterial therapy, intravenous high-dose benzylpenicillin, gentamicin and metronidazole. Peripheral white blood cell count 12,300 / mm ~ 3, 80% neutral multi-core. Chest, abdomen, pelvis, head and neck and lumbar spine