查詢結果分析
相關文獻
- Detection and Identification of Mycobacterium Tuberculosis by Nested PCR Assays in Cerebrospinal Fluid Samples from Patients with Suspected Tuberculous Meningitis
- Diagnosis of Tuberculous Meningitis by a Nested Polymerase Chain Reaction
- Tuberculous Meningitis in a Filipino Maid
- 結核性腦膜炎
- An Unusual Case of Tuberculous Meningitis
- Application of Polymerase Chain Reaction for Rapid Diagnosis of Tuberculous Meningitis
- Clinical Application of Polymerase Chain Reaction Assay in Early Diagnosis of Tuberculous Meningitis
- Prognosis of Tuberculous Meningitis in Adults in the Era of Modern Antituberculous Chemotherapy
- 肺結核及結核性腦膜炎
- 結核性腦膜炎
頁籤選單縮合
題名 | Tuberculous Meningitis in a Filipino Maid=一菲傭之結核性腦膜炎 |
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作者 | 許昭俊; 袁瑞昱; 盧章智; 鍾啟禮; 許昭禹; Sheu, Jau-jiuan; Yuan, Rey-yue; Lu, Jang-jih; Chung, Chi-li; Hsu, Chao-yu; |
期刊 | 臺灣醫學會雜誌 |
出版日期 | 19991100 |
卷期 | 98:11 1999.11[民88.11] |
頁次 | 頁783-786 |
分類號 | 415.9313 |
語文 | eng |
關鍵詞 | 結核性腦膜炎; Tuberculosis; Tuberculous meningitis; Foreign worker; |
英文摘要 | Tuberculous meningitis, while not uncommon in Taiwan, has not been reported among foreign workers. We report the first case of tuberculous meningitis in a 37-year-old Filipino maid in Taiwan, who presented with headache, fever and vomiting. She had been well before this episode and the small screening films of the chest radiograph obtained on her arrival in Taiwan 15 months previously, and every 6 months thereafter showed no evidence of tuberculosis. The suspicion of tuberculous meningitis was delayed until disturbance of consciousness manifested and a standard chest radiograph showed a diffuse miliary pattern in both lung fields. A cerebrospinal fluid sample that was sent for a polymerase chain reaction-based assay specific for Mycobacterium tuberculosis showed a positive result. The patient recovered with sequelae of mildly incoherent speech and urinary incontinence after antituberculous medication and short-course steroid treatment. Clinicians should be aware of the possibility of tuberculous meningitis in foreign workers with complaints of fever and headache. Because high-quality chest radiographs are a prerequisite for early detection of pulmonary tuberculosis, we recommend that standard posterior-anterior chest radiographs should be obtained as part of the routine health examination for foreign workers. |
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