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男,50天。因发热1个月,腹泻半月伴惊厥2次入院。于1个月前开始发热,每天在38℃至40℃左右,半月前突然惊厥1次。近半月来腹泻,大便为黄绿色粘液便,无脓血,每天4～5次。曾在当地医院使用抗生素、肾上腺皮质激素等治疗10余天,病情无明显好转,且又惊厥1次而来诊治。查体:体温40.4℃,稍瘦,神志不清。前囟2.5cm×2.5cm,饱满。角膜稍混浊。颈无抵抗感。心肺正常。拥抱反射及觅食反射消失,布氏征及克氏征未引出,巴氏征(+)。实验室检查:血红蛋白136g/L,白细
Male, 50 days. 1 month due to fever, diarrhea with convulsions half-time admission 2 times. 1 month ago began to fever, every day at about 38 ℃ to 40 ℃, half a month ago suddenly convulsions 1. Nearly half a month to diarrhea, stool is yellow-green mucus, no sepsis, 4 to 5 times a day. In the local hospital antibiotics, adrenal hormones and other treatment for more than 10 days, no significant improvement in the condition, and convulsions and a diagnosis and treatment. Physical examination: body temperature 40.4 ℃, a little thin, unconscious. Bregma 2.5cm × 2.5cm, full. Cornea slightly cloudy. Neck no sense of resistance. Cardiopulmonary normal. Hugging reflection and foraging reflex disappeared, Brinell sign and Krypton sign did not lead to Pakistan’s sign (+). Laboratory tests: hemoglobin 136g / L, white