[布鲁氏菌性脑膜炎作为清亮脑脊液脑膜炎的一种特殊形式。临床研究]

[Brucellar meningitis as a peculiar form of clear fluid meningitis. Clinical study].

作者信息

Sánchez Rodríguez A, Martín Oterino J A, Fidalgo Fernández M A, Araoz P, Alonso García P, Chimpén Ruiz V, de Portugal Alvarez J

机构信息

Servicio de Medicina Interna, Hosptal Clínico Universitario, Salamanca.

出版信息

Rev Clin Esp. 1997 Sep;197(9):623-6.

PMID:9411566

Abstract

Out of 200 patients diagnosed of acute of chronic brucellosis, cases were first selected who had neurologic involvement (14%) and then those who had brucellar meningitis (CDC criteria) which corresponds to 4% of the total of the series. The clinical course, evolution time, neurologic manifestations and serologic and bacteriologic characteristics in blood and specifically in the cerebrospinal fluid (CSF). This study was contrasted with the literature review and the conclusion is reached that brucellar meningitis is a peculiar form of clear fluid meningitis, not exceptional in our environment considering the prevalence of brucellosis.

摘要

在200例诊断为急性或慢性布鲁氏菌病的患者中，首先选取有神经受累的病例（14%），然后选取符合布鲁氏菌性脑膜炎（疾病控制与预防中心标准）的病例，这占该系列病例总数的4%。研究了其临床病程、演变时间、神经表现以及血液尤其是脑脊液中的血清学和细菌学特征。本研究与文献综述进行了对比，得出的结论是，布鲁氏菌性脑膜炎是清亮液性脑膜炎的一种特殊形式，考虑到布鲁氏菌病的患病率，在我们的环境中并不罕见。