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題 名 | 腦膜炎球菌性腦膜炎--病例報告=Meningococcal Meningitis: A Case Report |
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作 者 | 李凱斌; 歐善福; | 書刊名 | 國防醫學 |
卷 期 | 30:6 2000.06[民89.06] |
頁 次 | 頁512-517 |
分類號 | 415.9313 |
關鍵詞 | 腦膜炎球菌性腦膜炎; 腦膜炎球菌性菌血症; 猛爆性紫斑症; 硬腦膜下腔積水; Meningococcal meningitis; Meningococcemia; Purpura fulminants; Subdural effusion; |
語 文 | 中文(Chinese) |
中文摘要 | 流行性腦脊髓膜炎在兒科門急診病例中並不多見,除一般腦膜炎表現在兒童的典型症狀之外,其最特別之處是會出現皮膚瘀點、紫斑或猛爆性紫斑症,也會侵犯心臟以及腎上腺等器官。本報告提出一五個月大女孩,因發燒、嘔吐,由診所轉至本院接受進一步檢查。身體檢查皮獲並無瘀點或紫斑出現,神經學檢查發現雙側足踝陣攣、深部肌腱反射呈增強現象、Brudzinski徵候與Kernig徵候均呈陽性;電腦斷層掃描發現腦部水腫及硬腦膜下腔積液現象;血液及腦脊髓液培養發現奈瑟氏腦膜炎雙球菌。在接受抗生素治療、硬腦膜下腔引流術以及burr hole引流術後,狀況逐漸穩定,目前聽覺誘發電位檢查正常,沒有局部神經學異常現象,活動正常,仍在門診繼續追蹤檢查。 |
英文摘要 | Meningococcal meningitis is seldom seen in pediatric outpatient department and emergency care unit. Besides the common presentation of bacterial meningitis, the particular clinical manifestation is focused on the skin, presented with petechiae, purpura and even purpura fulminants. Meningococcal infection also invade other systemic organs including heart and adrenal gland. This report present a 5-months-old female case, suffered from fever and vomiting, so she was transferred to our ward from local medical clinic for further evaluation. On physical examination, there were no petechiae or purpura, neurological examination revealed bilateral ankle clonus, deep tendon reflexes and brisk, Brudzinski sign and Kerning sign were positive, CT scan revealed brain edema and subdural effusion, culture from blood and CSF all revealed Neisseria maningitidis. After treatment with antibiotics, subdural tapping and burr hole drainage, the general condition and improved, auditory-brainstem response examination was normal. There were no local neurologic sign, good activity was well, and she receive out-patient department follow up now. |
本系統中英文摘要資訊取自各篇刊載內容。