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陈某,女,4个月,拟诊高热惊厥,上感入院。体检:体温39.5℃,精神萎靡,时有烦躁,前囟平,咽红,心肺正常,腹软,肝脾不大。入院当日查血象,白细胞19.3×10~9/L,NO.60,LO.40。选用青霉素120万位单/日,庆大霉素3万单位/日,静脉滴注治疗。三天后高热仍不退,血培养二次(间隔一周)均查出乙型副伤寒沙门氏杆菌,对庆大霉素高度敏感,治疗10天后,体温波动在38.5℃～39℃,精神差,时有呕吐。复查血象,白细胞17.2×10~9/L,NO.60,LO.40。当检查头部时哭闹明显,行腰穿术查脑脊液常规及生化,CSF报告:外观清,无色,白细胞6×10~6/L,糖2.75mmol/L,潘氏
Chen, female, 4 months, to be diagnosed with febrile seizures, the feeling of admission. Physical examination: body temperature 39.5 ℃, apathetic, when irritable, anterior fontanel, throat, normal heart and lung, abdominal soft, small spleen and liver. Check blood on the day of admission, white blood cells 19.3 × 10 ~ 9 / L, NO.60, LO.40. Use penicillin 1.2 million single / day, gentamicin 30,000 units / day, intravenous infusion treatment. Three days after the high fever is still not back, blood culture twice (one week apart) are detected Salmonella paratyphi B, highly sensitive to gentamicin, 10 days after treatment, the body temperature fluctuations in 38.5 ℃ ~ 39 ℃, poor spirits, When vomiting. Review of blood, white blood cells 17.2 × 10 ~ 9 / L, NO.60, LO.40. Crying when checking the head was obvious, the line of lumbar puncture routine and biochemical examination of cerebrospinal fluid, CSF Report: appearance of clear, colorless, white blood cells 6 × 10 ~ 6 / L, sugar 2.75mmol / L, Pan