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机会致病菌引起败血症合并化脓性脑膜炎的报道日渐增多.我院收治3例,现报道如下.例1男,16天,出生后5天发热抽风住某市儿童医院.认为化脓性脑膜炎,因接触腹泻小儿又开始腹泻,10天后因病重转入我院.查体:T38℃,Ⅲ°脱水征,头围35cm,前囟3×3cm,矢状缝分离,Hb120g/L,WBC19.6×10~9/L,大便脓球(?),潜血(+),培养副伤寒杆菌丙.CSF蛋白640mg/L,白细胞0.治疗10天大便培养(一),血培养为醋酸不动杆菌,作头颅CT证实硬膜下积液,脑积水.硬膜下穿刺液二次培养为醋酸不动杆菌,药敏与血培养一致.治疗10天无好转自动出院.
Opportunistic pathogens caused by sepsis with purulent meningitis reported an increasing number of cases admitted to our hospital in 3 cases, are reported below .Example 1 male, 16 days, 5 days after birth fever inhalation of a Children’s Hospital of the city that suppurative meningitis , Due to contact with diarrhea in children and began diarrhea, 10 days after the disease was transferred to our hospital. Physical examination: T38 ℃, Ⅲ ° dehydration sign, head circumference 35cm, anterior fontanel 3 × 3cm, sagittal suture separation, Hb120g / L, WBC19 .6 × 10 ~ 9 / L, stool pus ball (?), Occult blood (+), cultured paratyphoid bacilli .CSF protein 640mg / L, white blood cells 0. Treatment 10 days stool culture (a), the blood culture is acetic acid Activated bacilli, cranial CT confirmed subdural effusion, hydrocephalus. Subdural puncture fluid secondary culture Acinetobacter, drug sensitivity and blood culture consistent. 10 days without improvement automatically discharged.