社区获得性脑膜炎：一例病例报告。
Community acquired meningitis: a case report.
作者信息
Lee Bianca, Yeroushalmi Kevin, Me Hay Me, Sojitra Paresh, Jilani Usman, Iqbal Syed, Ahmed Shadab, Verley Janice, Akella Jagadish
机构信息
DO, Department of Internal Medicine, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY, 11554, USA.
MD, Department of Internal Medicine, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY, 11554, USA.
出版信息
Germs. 2018 Jun 4;8(2):92-95. doi: 10.18683/germs.2018.1136. eCollection 2018 Jun.
INTRODUCTION
meningitis is most commonly seen as a nosocomial infection and in post-neurosurgical patients. Reports of community acquired meningitis cases are rare in the United States. The objective of this case report is to discuss an uncommon pathogen causing meningitis, , its risk and prognostic factors and to emphasize the importance of early recognition and appropriate antibiotic treatment.
CASE REPORT
We report a clinical case of adult community acquired meningitis with recovery. A 54-year-old diabetic male presented with two-week history of intermittent fevers, acute bilateral ear pain, headache and unsteady gait. Broad spectrum antibiotics were initiated. was isolated in the cerebrospinal fluid cultures. The patient recovered with only mild hearing loss in his left ear.
CONCLUSION
Our case highlights the importance of suspecting in community acquired meningitis.
引言
脑膜炎最常见于医院感染及神经外科手术后患者。在美国，社区获得性脑膜炎病例的报告很少。本病例报告的目的是讨论一种引起脑膜炎的罕见病原体、其风险和预后因素，并强调早期识别和适当抗生素治疗的重要性。
病例报告
我们报告一例成年社区获得性脑膜炎患者临床康复病例。一名54岁的糖尿病男性患者，有两周间歇性发热、双侧耳部剧痛、头痛及步态不稳的病史。开始使用广谱抗生素治疗。脑脊液培养分离出（此处原文缺失病原体名称）。患者康复，仅左耳有轻度听力损失。
结论
我们的病例强调了在社区获得性脑膜炎中怀疑（此处原文缺失病原体名称）的重要性。
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