金××,男,22岁,住院号:46375.患者从1989年6月起头痛,呕吐,发热.当地医院曾用抗生素及激素治疗无好转,并出现寒战、高热、呕吐。7月12日出现排尿困难,14日起出现意识障碍.CSF 细胞数:41×10~6/L,0.62%,潘氏++,糖、氯化物正常。7月14日骨髓培养为金葡菌。7月16日收住我院神经科.入院时检查:T38℃,P116次/分,R40次/分,BP26.7/13.3KPa,瞳孔等大,光反射+,左眼视 N 乳头水肿,颈抵抗明显.克氏症+,四肢肌力Ⅴ度,深浅感觉正 Jin XX, male, 22 years old, hospital number: 46375. The patient had headache, vomiting and fever since June 1989. The local hospital had no improvement with antibiotics and hormone therapy and had chills, fever and vomiting. Dysuria occurred on July 12, and disturbance of consciousness occurred on the 14th. The number of CSF cells was 41 × 10 -6 / L, 0.62%, Pan’s ++, sugar and chloride were normal. July 14 bone marrow culture for Staphylococcus aureus. July 16 admitted to our hospital neurology admitted to the hospital: T38 ℃, P116 beats / min, R40 beats / min, BP26.7 / 13.3KPa, pupil and other large, light reflection +, left eye as N papillary edema, Neck resistance is obvious. Kirschner +, limb muscle strength Ⅴ degree, the sense of depth is positive