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临床资料患者女性,35岁,已婚。因“发热,咳嗽,咳痰8 d”入院。患者于2014年5月2日行剖宫产术,产后4 d出现乱语、行为异常,伴有低热(体温37~37.9℃)。当地精神病院给予“氟哌啶醇”10 mg/d注射、“奥氮平”5 mg/d口服,35%能量电休克治疗3次,以及“阿奇霉素、头孢曲松”等共治疗1周,患者渐出现高热(体温39~41℃)、大汗、木僵、意识障碍及大量口腔分泌物。脑脊液、脑电图
Clinical information Patient female, 35 years old, married. Because of “fever, cough, sputum 8 d ” admission. Patients underwent cesarean section on May 2, 2014, with gibberish and behavioral abnormalities on day 4 postpartum with fever (37-37.9 ° C). The local mental hospital gave “10 mg / d haloperidol” injection, “olanzapine” 5 mg / d orally, 35% energy electric shock treatment 3 times, and “azithromycin, ceftriaxone” A total of 1 week of treatment, the patient gradually high fever (body temperature 39 ~ 41 ℃), sweating, stupor, disturbance of consciousness and a lot of oral secretions. Cerebrospinal fluid, EEG