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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Acute disseminated encephalomyelitis associated with Pasteurella multocida meningitis.
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Acute disseminated encephalomyelitis associated with Pasteurella multocida meningitis.

机译：急性弥漫性脑脊髓炎伴多杀性巴氏杆菌脑膜炎。

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摘要

OBJECTIVE: To describe a case of Pasteurella multocida meningitis associated with acute disseminated encephalomyelitis (ADEM). CASE REPORT: A 33-year-old woman employed in a dog pound presented herself to hospital with fever and meningismus and was found to have culture positive Pasteurella multocida meningitis. Despite appropriate antibiotic treatment her clinical course was characterized by a persistent fever and worsening encephalopathy, which prompted further neurological investigation. Spinal fluid exam and serial MRI scans as well as her one-year clinical course were found to be compatible with ADEM. CONCLUSION: Persistent fever and worsening encephalopathy in meningitis may indicate a para-infectious immune process such as ADEM, and may serve as indications for further neurological investigation.
机译：目的：描述一例多杀性巴斯德氏菌脑膜炎伴急性弥漫性脑脊髓炎（ADEM）的病例。病例报告：一名33英镑的妇女在狗磅中工作，她因发烧和脑膜炎而出院，并被发现患有培养阳性多杀性巴斯德氏菌脑膜炎。尽管进行了适当的抗生素治疗，她的临床过程仍以持续发烧和脑病恶化为特征，这促使进一步的神经系统检查。脊液检查和连续MRI扫描以及她一年的临床课程被发现与ADEM兼容。结论：脑膜炎持续发烧和脑病恶化可能预示着亚感染性免疫过程，如ADEM，并可能为进一步的神经系统检查提供指征。

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