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本文引用的文献

1
Tuberculous meningitis: diagnosis and treatment overview.结核性脑膜炎:诊断与治疗概述
Tuberc Res Treat. 2011;2011:798764. doi: 10.1155/2011/798764. Epub 2011 Dec 21.
2
Central nervous system tuberculosis.中枢神经系统结核
Afr Health Sci. 2011 Mar;11(1):116-27.
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Current concepts in the management of tuberculosis.当前结核病管理的理念。
Mayo Clin Proc. 2011 Apr;86(4):348-61. doi: 10.4065/mcp.2010.0820.
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Comparison of PCR with the routine procedure for diagnosis of tuberculosis in a population with high prevalences of tuberculosis and human immunodeficiency virus.在结核病和人类免疫缺陷病毒高流行人群中,PCR与结核病常规诊断程序的比较。
J Clin Microbiol. 2004 Mar;42(3):1012-5. doi: 10.1128/JCM.42.3.1012-1015.2004.
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Tuberculous meningitis in adults: review of 61 cases.成人结核性脑膜炎:61例病例回顾
Infection. 2003 Dec;31(6):387-91. doi: 10.1007/s15010-003-3179-1.
6
Clinical relevance of hydrocephalus as a presenting feature of tuberculous meningitis.脑积水作为结核性脑膜炎的一种表现特征的临床相关性。
QJM. 2003 Sep;96(9):643-8. doi: 10.1093/qjmed/hcg108.
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Neurotuberculosis: a review.神经结核:综述
Clin Neurol Neurosurg. 1992;94 Suppl:S30-3. doi: 10.1016/0303-8467(92)90014-t.

一名39岁男性因头痛就诊,诊断为结核性脑膜炎。

Meningeal TB in a 39-Year-Old Male Presenting with Headache.

作者信息

Selinger Jason, Baage Thar El

机构信息

Southeastern Regional Medical Center, Lumberton, NC, USA.

出版信息

Case Rep Infect Dis. 2017;2017:4753670. doi: 10.1155/2017/4753670. Epub 2017 Sep 26.

DOI:10.1155/2017/4753670
PMID:29082052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5634589/
Abstract

Meningeal tuberculosis is rare in the developed world, with only 92 cases of meningeal TB reported in the United States in 2014 according to the CDC (CDC, 2015). We describe the case of a 39-year-old male with a history of alcohol abuse, whose cerebral spinal fluid acid fast smears confirmed TB only weeks after his death. His only initial presenting symptom was headache, and his condition declined rapidly during his hospitalization.

摘要

在发达国家,结核性脑膜炎较为罕见。根据美国疾病控制与预防中心(CDC)的数据,2014年美国仅报告了92例结核性脑膜炎病例(CDC,2015)。我们描述了一例有酗酒史的39岁男性病例,其脑脊液抗酸涂片仅在他死后数周才确诊为结核病。他最初唯一的症状是头痛,住院期间病情迅速恶化。