结核性脑膜炎是结核杆菌所致脑膜和脊髓膜的非化脓性炎症,发热、头痛、呕吐为其常见的临床表现,脑脊液中检测出结核杆菌抗原、结核杆菌抗体、结核杆菌DNA或培养出结核杆菌为其诊断金标准。本文报道1例反复发热为首发症状的最终诊断艾滋病合并结核性脑膜炎的病例,通过此例加深临床工作者对艾滋病合并结核性脑膜炎的认识。 Tuberculous meningitis is non-suppurative inflammation of the meninges and spinal membranes caused by Mycobacterium tuberculosis. Fever, headache and vomiting are the common clinical manifestations. Mycobacterium tuberculosis antigen, Mycobacterium tuberculosis antibody, Mycobacterium tuberculosis DNA or tuberculosis Bacillus for the diagnosis of gold standard. This article reports a case of recurrent fever as the first symptom of the final diagnosis of AIDS with tuberculous meningitis cases, through this case to deepen clinical knowledge of AIDS patients with tuberculous meningitis.