本文报告1例食管扩张术后发生血链球菌(streptococcus sanguis)菌血症,接着又发生同一种细菌引起的脑膜炎。现将其症状和体征的发展经过叙述于下。患者男性,48岁,因食管狭窄引起反流而住院作食管扩张术。在入院2个月内,持续用较大的Maloney氏扩张器进行4段时间的探条扩张术,无不良后果。扩张器在每次使用前部用2％戊二醛消毒。在第5段时间的扩张过程中并无并发症,但术后3小时患者出现寒战。患者术前和术中均未使用抗生素。寒战半小时后,主诉整个头部剧烈疼痛。体检:扩张术后3小时和6小时的口温分别为37.2℃和40℃,心率120/分,呼吸26/分,血压140/95mmHg。营养状况良好,眼底和粘膜正常,皮肤无瘀点和紫癜,仅有的3枚牙齿状况良好。未闻及心脏杂音,肺部清晰,腹部检查正常,有布氏征和克氏征。术后6小时精神状况开始异常,变得很 This article reports 1 case of streptococcus sanguis bacteremia after esophageal dilatation followed by the same bacterial meningitis. The development of symptoms and signs is now described below. Male, 48 years old, hospitalized for esophageal dilatation due to reflux due to stricture of the esophagus. Within 2 months of admission, continuous use of the larger Maloney’s dilator for four-stage bar dilatation without adverse consequences. Dilators were disinfected with 2% glutaraldehyde before each use. There was no complication during the 5th episode of expansion, but there was a chill in 3 hours after surgery. Patients did not use antibiotics before and during surgery. Half an hour after the cholera, the chief complaint of severe pain throughout the head. Physical examination: The oral temperature at 3h and 6h after dilatation were 37.2 ℃ and 40 ℃ respectively, heart rate 120 / min, respiration 26 / min and blood pressure 140 / 95mmHg. Good nutritional status, normal fundus and mucosa, no petechia and purpura on the skin, only 3 teeth in good condition. Unheard and heart murmur, clear lungs, normal abdominal examination, Burson’s syndrome and Keshi sign. 6 hours after the onset of mental disorders, become very