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例1,男,30岁,北京郊区人。因头痛2天发作性抽搐5小时入院。查体:浅昏迷,躁动不安,右上下肢轻瘫,病理征未引出,颈轻度抵抗。意识转清后见有不全运动性失语。头颅CT扫描示左半球大面积可疑低密度影。EEO见额、颞1～7C/S 20～60μV杂乱慢波,左侧为著。腰穿CSP压力1.96kPa,WBC3.6×10~6/L,蛋白563mg/L,糖正常,氯化物173.4mmol/L。予青霉素G钠640万u/日静滴,一周后临床症状消失。2月后采用间接免疫萤光法查血中莱姆病螺旋体特异性抗体IgG1:128(+)(≥1:128为阳
Example 1, male, 30 years old, Beijing suburbs. Two days due to headache episodes of seizures 5 hours admitted. Physical examination: shallow coma, restlessness, right upper limb paralysis, pathological levy did not lead, neck mild resistance. See consciousness after the clear lack of exercise aphasia. Head CT scan showed a large area of suspicious low-density left hemisphere shadow. EEO amount, temporal 1 ~ 7C / S 20 ~ 60μV disorder slow wave, on the left. Waist wear CSP pressure 1.96kPa, WBC 3.6 × 10 ~ 6 / L, protein 563mg / L, normal sugar, chloride 173.4mmol / L. To penicillin G 640 million u / day intravenous infusion, a week after the clinical symptoms disappear. After 2 months by indirect immunofluorescence method for blood Lyme disease spirochete-specific antibodies IgG1: 128 (+) (≥ 1: 128 positive