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本文引用的文献

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A hospital-based study on etiology and prognosis of bacterial meningitis in adults.一项基于医院的成人细菌性脑膜炎病因和预后的研究。
Sci Rep. 2021 Mar 16;11(1):6028. doi: 10.1038/s41598-021-85382-4.
2
Sensitivity and specificity of meningeal signs in patients with meningitis.脑膜炎患者脑膜刺激征的敏感性和特异性。
J Gen Fam Med. 2019 Jul 15;20(5):193-198. doi: 10.1002/jgf2.268. eCollection 2019 Sep.
3
Jolt accentuation and its value as a sign in diagnosis of meningitis in patients with fever and headache.抽搐加剧及其作为发热头痛患者脑膜炎诊断体征的价值。
Turk J Emerg Med. 2016 Nov 24;17(1):29-31. doi: 10.1016/j.tjem.2016.11.001. eCollection 2017 Mar.
4
Antibiotic treatment and mortality in patients with Listeria monocytogenes meningitis or bacteraemia.李斯特菌单核细胞增生症脑膜炎或菌血症患者的抗生素治疗与死亡率。
Clin Microbiol Infect. 2016 Aug;22(8):725-30. doi: 10.1016/j.cmi.2016.06.006. Epub 2016 Jun 23.
5
Community-acquired bacterial meningitis in adults in the Netherlands, 2006-14: a prospective cohort study.荷兰 2006-2014 年成人获得性细菌性脑膜炎：一项前瞻性队列研究。
Lancet Infect Dis. 2016 Mar;16(3):339-47. doi: 10.1016/S1473-3099(15)00430-2. Epub 2015 Dec 1.
6
Altered mental status in older patients in the emergency department.急诊科老年患者的精神状态改变。
Clin Geriatr Med. 2013 Feb;29(1):101-36. doi: 10.1016/j.cger.2012.09.005.
7
Incidence of listeriosis and related mortality among groups at risk of acquiring listeriosis.李斯特菌病发病率以及易感染李斯特菌群体的相关死亡率。
Clin Infect Dis. 2012 Mar 1;54(5):652-60. doi: 10.1093/cid/cir902. Epub 2011 Dec 9.
8
Three-year multicenter surveillance of community-acquired Listeria monocytogenes meningitis in adults.成人社区获得性李斯特菌脑膜炎的三年多中心监测。
BMC Infect Dis. 2010 Nov 11;10:324. doi: 10.1186/1471-2334-10-324.
9
A retrospective review of 226 hospitalized patients with fever.对226例住院发热患者的回顾性研究。
Intern Med. 2007;46(1):17-22. doi: 10.2169/internalmedicine.46.6038. Epub 2007 Jan 1.
10
Community-acquired Listeria monocytogenes meningitis in adults.成人社区获得性单核细胞增生李斯特菌脑膜炎
Clin Infect Dis. 2006 Nov 15;43(10):1233-8. doi: 10.1086/508462. Epub 2006 Oct 10.

通过血培养诊断的脑膜炎，伴有发热、神经症状且无脑膜刺激征。

meningitis diagnosed by blood culture with fever, neurological symptoms, and no meningeal irritation signs.

作者信息

Tago Masaki, Hirata Risa, Hirakawa Yuka, Makio Seijiro, Oishi Toru, Nakamura Masahiko, Yamashita Shun, Tokushima Yoshinori, Tokushima Midori, Katsuki Naoko E, Aihara Hidetoshi, Fujiwara Motoshi

机构信息

Department of General Medicine Saga University Hospital Saga Japan.

出版信息

Clin Case Rep. 2023 Oct 10;11(10):e8020. doi: 10.1002/ccr3.8020. eCollection 2023 Oct.

DOI:10.1002/ccr3.8020
PMID:37830068
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10565091/
Abstract

KEY CLINICAL MESSAGE

can cause neurological symptoms in immunocompromised and older patients. Additionally, it is impossible to rule out meningitis by the absence of typical meningeal irritation signs. Therefore, patients with fever and neurological impairments should be rapidly examined for blood and cerebrospinal fluid cultures to rule out meningitis.

ABSTRACT

A woman in her 90s developed fever, dysarthria, and transient disturbance of consciousness. Physical examination revealed no meningeal irritation signs. were detected in her blood culture the following day. Because of an increased number of cells in cerebrospinal fluid, she was diagnosed with meningitis.

摘要

关键临床信息

可在免疫功能低下和老年患者中引起神经症状。此外，不能因缺乏典型的脑膜刺激征而排除脑膜炎。因此，对于发热和有神经功能障碍的患者，应迅速进行血液和脑脊液培养检查以排除脑膜炎。

摘要

一名90多岁的女性出现发热、构音障碍和短暂意识障碍。体格检查未发现脑膜刺激征。次日其血培养中检测到（相关病菌）。由于脑脊液中细胞数量增加，她被诊断为（某种）脑膜炎。