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四联球菌性脑膜炎属化脓性脑膜炎,是一种很少见的、严重的急性感染性疾病。国外报道病死率大约为75%。国内文献首先于1955年报道1例,至目前为止,笔者已检索到国内文献报道共5例。最近报道常用抗生素如青霉素、链霉素、红霉素对四联球菌无效。这种条件致病菌的抗药性已成为临床上的新问题。为提高对本病的诊治水平,减少误诊及漏诊,特把我院收治的一例报告于后。男,12岁,因发热、头痛2天,伴呕吐、抽搐于1977年7月1日入院。入院前2天患儿突然发热、头痛、呕吐,呕出胃内容物,共呕3次。一天前高热,抽搐一次,数分钟后自行缓解,抽搐后神志仍清醒。
Tetragenococcus meningitis is purulent meningitis, is a rare, severe acute infectious disease. Foreign reported case fatality rate is about 75%. Domestic literature first reported in 1955 in 1 case, so far, I have retrieved a total of 5 cases reported in the domestic literature. Recent reports of commonly used antibiotics such as penicillin, streptomycin, erythromycin on quadruple bacteria invalid. The resistance of such opportunistic pathogens has become a new clinical problem. In order to improve the diagnosis and treatment of the disease, reduce misdiagnosis and missed diagnosis, especially in our hospital admitted a case report later. Male, 12 years old, due to fever, headache for 2 days, with vomiting, convulsions admitted to hospital on July 1, 1977. 2 days before admission, children suddenly fever, headache, vomiting, vomit the contents of the stomach, vomiting 3 times. A day before high fever, convulsions once a few minutes after the self-remission, convulsions still sober mind.