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流行性脑脊髓膜炎(以下简称流脑)合并变态反应性关节炎者比较罕见,一旦发生,常易误诊为化脓性关节炎,由于治疗方法不同,故其鉴别非常重要。本院自1980年以来发现3例,现报告如下,并探讨其与化脓性关节炎的鉴别要点。【例1】男,6岁。因发热、头痛1天,呕吐2次,于3月3日以流脑入院。患儿既往健康,病前无关节疾患,查体:体温不升,脉搏140次/分,呼吸29次/分,血压60/40毫米汞柱。神志清,精种差。下肢皮肤可见散在淤斑,四肢厥冷,颈项强直。心、肺及腹部均正常。病理性神经反射:布氏征(+),克氏征(+),巴氏征(-)。血象:白细胞4,200/立方毫来,中性粒细胞61％,淋巴细胞19％,杆形核细胞
Epidemic cerebrospinal meningitis (hereinafter referred to as meningitis) with allergic arthritis are relatively rare, in the event of often misdiagnosed as suppurative arthritis, due to different treatment methods, so the identification is very important. Our hospital since 1980 found three cases are as follows, and to explore its identification with suppurative arthritis points. [Example 1] Male, 6 years old. Due to fever, headache 1 day, vomiting 2 times, on March 3 to send melatonin. Children with past health, no joint disease before the disease, physical examination: body temperature does not rise, pulse 140 beats / min, breathing 29 beats / min, blood pressure 60/40 mm Hg. Consciousness, poor precision. Lower extremity skin scattered scattered ecchymosis, extremities Jueleng, neck stiffness. Heart, lungs and abdomen are normal. Pathological reflexes: Buchner sign (+), Kirschner sign (+), Pakistan sign (-). Blood: white blood cells 4,200 / cubic milligram, neutrophils 61%, 19% of lymphocytes, nuclear cells