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患者,女、24岁,教师,蒙城籍,住院号49488.1979年10月下旬开始发热,头痛,逐日加重,静滴氯霉素5天无效,转县医院查CSF细胞数280/mm~3,糖0～10mg,以结脑收住.入院抗痨治疗三天,由于无脑膜刺激征,头痛为间歇性能为静滴甘露醇所缓解乃放弃抗痨.不规则应用红、氯霉素静脉点滴.11月11日出现右眼内斜,经每日静滴地塞米松,体温有所下降,复查CSF也有好转,但患者仍有间歇性头痛,于11月28日自动出院.出院后一周,头痛呕吐加剧而来我院就诊,于12月10日以病毒性脑炎收住.
The patient, female, 24 years old, teacher, Mengcheng nationality, hospital number 49488. Beginning of late October 1979 fever, headache, increasing day by day, intravenous chloramphenicol 5 days invalid, check the county hospital CSF cell count 280 / mm ~ 3, Sugar 0 ~ 10mg, to brain tuberculosis admitted to hospital anti-tuberculosis treatment for three days, due to no meningeal irritation, headache intermittent performance is relieved by intravenous drops of mannitol to give up anti-tuberculosis. Irregular application of red, chloramphenicol intravenous drip .In November 11, there was a right intracranial diastolic, dexamethasone intravenous infusion daily, body temperature decreased, CSF review also improved, but patients still have intermittent headache, was discharged on November 28. One week after discharge, Headache and vomiting intensified from our hospital, on December 10 with viral encephalitis admitted.