猪链球菌脑膜炎1例  

A case of Streptococcus suis meningitis

作　　者：刘于庭 魏易琼[2] 邓伟华[2] 成秋生[2] Liu Yuting;Wei Yiqiong;Deng Weihua;Cheng Qiusheng(Department of Internal Medicine,Guangzhou First People’s Hospital,Guangzhou 510180,China;department of Neurology,Guangzhou First Peopled Hospital,Guangzhou 510180,China)

机构地区：[1]广州市第一人民医院内科,广州510180 [2]广州市第一人民医院神经内科,广州510180

出　　处：《中华神经科杂志》2022年第6期640-642,共3页Chinese Journal of Neurology

摘　　要：报道1例由猪链球菌感染引起的化脓性脑膜炎。患者为老年女性,流行病学史不典型,主要临床表现为发热、头痛、颈痛,结合血培养、脑脊液二代测序结果诊断为猪链球菌感染的化脓性脑膜炎。经第三代头孢菌素抗感染、脱水等治疗后症状明显好转,患者发病1周左右出现口唇疱疹,发病2周左右出现听力减退,被分别予以抗病毒和激素治疗后好转出院。A case of suppurative meningitis caused by Streptococcus suis infection is reported.The patient was an elderly female with an atypical epidemiological history.The common symptoms included fever,headache and cervicodynia.According to the results of blood bacterial culture and next-generation sequencing of cerebrospinal fluid,the patient was considered purulent meningitis caused by Streptococcus suis.After treatment with the third generation cephalosporins,the symptoms improved significantly.One week after the onset of the disease,herpes labialis occurred,followed by hearing loss about 1 week later.The patient was treated with antiviral and hormone therapy,and was discharged after improvement.

关 键 词：链球菌 猪 脑膜炎 中枢神经系统细菌感染 听力障碍 二代测序 

分 类 号：R742.9[医药卫生—神经病学与精神病学]