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患儿,男,8月,因“发热9d,抽搐2次”入院。入院查体:神清,前囟隆起,张力高,颈阻阳性。血常规:白细胞10.6×109/L,中性粒细胞58.5%,C反应蛋白(CRP)93mg/L。脑脊液有核细胞数8 200×106/L,中性粒细胞88%,蛋白1 907mg/L,糖<0.2mmol/L。诊断:化脓性脑膜炎。入院后先以头孢曲松100mg/(kg·d)抗感染,效果差,加用万古霉素60mg/(kg·d)。双瓶血培养及脑脊液报阳:大肠埃希氏菌ESBL(+),对碳青霉烯、氨基糖苷等敏感。遂停头
Children, male, August, due to “fever 9d, convulsions 2 times ” admission. Admission examination: Shen Qing, before the fontanel uplift, high tension, cervical resistance positive. Blood: white blood cells 10.6 × 109 / L, neutrophils 58.5%, C-reactive protein (CRP) 93mg / L. Cerebrospinal fluid nucleated cells 8 200 × 106 / L, 88% of neutrophils, protein 1 907mg / L, sugar <0.2mmol / L. Diagnosis: purulent meningitis. After admission to ceftriaxone 100mg / (kg · d) anti-infection, the effect is poor, add vancomycin 60mg / (kg · d). Double bottle of blood culture and cerebrospinal fluid reported positive: Escherichia coli ESBL (+), on carbapenem, aminoglycoside and other sensitive. Then stop