Koehler P J, Krulder J W
Afdeling Neurologie en Interne Geneeskunde, Gemeenteziekenhuizen van 's-Gravenhage.
Tijdschr Gerontol Geriatr. 1988 Feb;19(1):11-2.
Bacterial meningitis in aged patients is a diagnosis that can be difficult to make. Three case-histories, one of them being diagnosed non-purulent bacterial meningitis, are presented to demonstrate this. If classic symptoms and signs are being absent, evidence of an infection should suggest meningitis, if other common infections, like urinary tract or respiratory infections, are excluded, and even in these cases a concomitant meningitis may be possible. Even then a high mortality should be taken into account. Only tenacity at diagnostics will be able to reduce this.
老年患者的细菌性脑膜炎是一种难以诊断的疾病。本文介绍了三个病例史，其中一例被诊断为非化脓性细菌性脑膜炎，以证明这一点。如果没有典型的症状和体征，在排除其他常见感染（如尿路感染或呼吸道感染）后，感染迹象应提示脑膜炎，甚至在这些情况下也可能并发脑膜炎。即便如此，也应考虑到高死亡率。只有在诊断上坚持不懈才能降低死亡率。
