无乳链球菌感染致新生儿化脓性脑膜炎并硬膜下积液1例报告  

One case report of group B streptococcus infection caused neonatal purulent meningitis and subdural effusion

作　　者：陈洁[1] 李芹[1] 

机构地区：[1]连云港市第二人民医院,江苏连云港222000

出　　处：《临床儿科杂志》2014年第7期658-659,共2页Journal of Clinical Pediatrics

摘　　要：目的探讨无乳链球菌(GBS)感染致化脓性脑膜炎并硬膜下积液的早期识别及治疗。方法回顾性分析1例典型GBS感染致化脓性脑膜炎并硬膜下积液患儿的发病经过、临床表现和诊治过程。结果患儿为晚发型GBS感染,起病隐匿,病情发展迅速,临床恢复较慢,对万古霉素高度敏感;治疗过程中病情出现反复,发现存在硬膜下积液,延长万古霉素疗程而痊愈。结论临床应重视晚发型GBS感染,并注意其化脓性脑膜炎、硬膜下积液、脑积水等并发症;应早期、合理、足疗程使用有效抗生素治疗。Objective To discuss the early recognition and treatment of group B streptococcus （GBS） infection caused neonatal meningitis and subdural effusion. Method The onset, clinical manifestations, diagnosis and treatment process were retrospectively analyzed in one case of typical GBS infection caused neonatal meningitis and subdural effusion. Results The subject was late-onset GBS infection, with insidious onset, rapid progress, slow clinical recovery, and highly sensitive to vancomycin. During the treatment, the subject had relapses. The subdural effusion had been found. After extension of vancomycin treatment, the subject recovered. Conclusions The late onset GBS infection should be taken seriously in clinical, pay attention to the complications such as purulent meningitis, subdural effusion, hydrocephalus, and be early treated with adequate and effective antibiotics.

关 键 词：无乳链球菌 化脓性脑膜炎 硬膜下积液 新生儿 

分 类 号：R742.9[医药卫生—神经病学与精神病学]