Nielsen P E, Thelle T, Tvede M
Department of Paediatrics, Viborg County Hospital, Denmark.
Acta Paediatr. 1995 Mar;84(3):342-5. doi: 10.1111/j.1651-2227.1995.tb13642.x.
Three cases of recrudescence and relapse of Neisseria meningitidis group B meningitis and septicaemia are reported. The recrudescence and relapses could not be explained by infectious foci, increased bacterial penicillin resistance or immunological defects. As a supplement to antibiotic treatment, all three patients received corticosteroids for the initial 2 days of treatment, and this may have contributed to the unusual course of the disease in our patient.
报告了3例B群脑膜炎奈瑟菌脑膜炎和败血症复发及再发的病例。复发及再发不能用感染灶、细菌对青霉素耐药性增加或免疫缺陷来解释。作为抗生素治疗的补充,所有3例患者在治疗的最初2天接受了皮质类固醇治疗,这可能是导致我们患者出现异常病程的原因。