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患者,男性,55岁。因发热、头痛、呕吐半月急诊入院。半月前,“上感”后出现头痛呕吐及发热,体温波动在38～39℃之间,无抽搐及肢体活动障碍和神志不清,在当地医院静点氨苄青霉素,甘露醇治疗无好转。查体:T39 C,神清,心肺未见异常,腹平软、肝脾未触及,颅神经未见异常,四肢肌力、肌张力正常,未引出病理反射征。血常规:WBC3.34×10~9/L,N87％,CSF:压力2.45kPa,蛋白2.2g/L,糖1.68mmol/L,氯
Patient, male, 55 years old. Due to fever, headache, vomiting, emergency hospital admission. Half a month ago, “feeling” after headache and vomiting and fever, body temperature fluctuations between 38 ~ 39 ℃, no convulsions and limb movement disorders and confusion in the local hospital ampicillin, mannitol no improvement. Examination: T39 C, Shen Qing, no abnormal heart and lung, abdominal soft, liver and spleen not touched, no abnormal cranial nerves, muscle strength, muscle tone normal, did not lead to pathological reflex sign. Blood: WBC3.34 × 10 ~ 9 / L, N87%, CSF: pressure 2.45kPa, protein 2.2g / L, sugar 1.68mmol / L, chlorine