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首页> 外文期刊>Scandinavian journal of infectious diseases. >Cranial nerve palsies and cerebral infarction in a young infant with meningococcal meningitis.
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Cranial nerve palsies and cerebral infarction in a young infant with meningococcal meningitis.

机译:患有脑膜炎球菌性脑膜炎的婴儿的颅神经麻痹和脑梗塞。

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A previously healthy 30-day-old male infant became ill with fever, poor activity, and refusal to feed for 2 days. A cerebrospinal fluid examination revealed 7.15 x 10(8) leukocytes/l with 72% neutrophils, protein 4.6g/l, and glucose 7 mg/dl. Neisseria meningitidis was isolated from the blood and cerebrospinal fluid. On the fourth day of hospitalization, the baby was found to have left oculomotor and facial palsies, which resolved gradually. He was treated with intravenous penicillin for 2 weeks. A repeat CSF examination revealed a high persisting protein level of 2.9 g/l and a computerized tomographic brain scan revealed a cerebral infarction in the bilateral frontal lobes. The treatment was extended to 4 weeks. No relapse of the infection was noted. This is the first case report of an infant with meningococcal meningitis complicated by cranial nerve palsies and cerebral infarction. This and previous reports, show that meningococcal meningitis at an extremely young age is associated with a greater riskof developing neurological complications.
机译:此前健康的30天大男婴因发烧,活动能力差和拒绝进食2天而患病。脑脊液检查显示7.15 x 10(8)白细胞/升,中性粒细胞含量为72%,蛋白为4.6g / l,葡萄糖为7 mg / dl。从血液和脑脊液中分离出脑膜炎奈瑟氏球菌。在住院的第四天,发现婴儿左眼动眼和面神经麻痹逐渐消失。他接受了静脉青霉素治疗2周。重复进行的CSF检查显示,蛋白质的持久性高,为2.9 g / l,计算机X线断层扫描显示双侧额叶有脑梗塞。治疗延长至4周。没有发现感染复发。这是首例脑膜炎球菌性脑膜炎并发颅神经麻痹和脑梗死的婴儿病例。该报告和以前的报告表明,极年轻的脑膜炎球菌性脑膜炎与发生神经系统并发症的风险较高有关。

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