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在1969至1984年间共收住院治疗的20(?)9例细菌性脑膜炎患儿,由病历中证实48例同时患有关节炎。致病菌:38例(79%)为流感嗜血杆菌、9例(19%)为(?)氏脑膜炎球菌、1例(2%)为金色葡萄球菌,13例的关节病变超过一个以上关节,计2关节受(?)者10例、3关节受累者2例、4关节病变者1例。肘关节(34%)及膝关节(29%)最常发病。44例检查了关节腔穿刺液,22例(5%)有细菌或靠培养、格兰氏染色法或免疫电泳法证实有细菌抗原,其中流感杆菌感染者20例,奈瑟氏脑膜炎球菌感染者1例。金葡菌感染者1例。14例的关节炎在脑膜炎确诊时已存在,16例的关节炎出现在脑膜炎病程的第1～6
A total of 20 children with bacterial meningitis were admitted to the hospital from 1969 to 1984, and 48 patients with concurrent bacterial arthritis were confirmed by medical record. Pathogenic bacteria: 38 (79%) were Haemophilus influenzae, 9 (19%) were meningococcal (?), 1 (2%) were Staphylococcus aureus and 13 were associated with more than one joint disease There were 10 cases of joints, 2 joints affected by (?), 2 cases of 3 joint involvement, and 1 case of 4 joint disease. Elbow joint (34%) and knee joint (29%) the most common disease. Twenty-four patients (5%) had bacterial or bacterial culture confirmed by bacterial or Gram staining or immunoelectrophoresis. Twenty-four of them were infected with influenza B. The infection of Neisseria meningitidis In 1 case. Staphylococcus aureus infection in 1 case. Arthritis in 14 cases existed at the time of diagnosis of meningitis, and arthritis of 16 cases occurred in the first to the sixth