Bonadio W A
Medical College of Wisconsin, Children's Hospital of Wisconsin, Department of Pediatrics, Milwaukee 53233.
Clin Pediatr (Phila). 1988 Sep;27(9):445-7. doi: 10.1177/000992288802700906.
A retrospective analysis of 112 cases of pediatric bacterial meningitis over a 3-year period was performed to determine the rate of cerebrospinal fluid (CSF) lymphocytosis at initial evaluation. Of 14 neonates and 98 children older than 1 month of age not receiving preadmission antibiotic therapy, only one instance of CSF lymphocytosis occurred. This patient's CSF exhibited pleocytosis, hypoglycorrhachia, abnormally elevated protein content, and organisms visualized on gram stain smear. In children with bacterial meningitis not receiving antibiotic therapy at the time of evaluation, CSF differential cell count with relative lymphocytosis is rare.
对112例3年内患小儿细菌性脑膜炎的病例进行回顾性分析,以确定初次评估时脑脊液(CSF)淋巴细胞增多的发生率。在14例新生儿和98例1个月以上未接受入院前抗生素治疗的儿童中,仅出现1例脑脊液淋巴细胞增多的情况。该患者的脑脊液显示细胞增多、脑脊液糖含量降低、蛋白质含量异常升高,且革兰氏染色涂片上可见微生物。在评估时未接受抗生素治疗的细菌性脑膜炎患儿中,脑脊液分类细胞计数出现相对淋巴细胞增多的情况很少见。