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无菌性脑膜炎综合征(Aseptic Meningitis Syndrome,AMS)是一种多病因的常见病,而以病毒感染为主要病因。急性细菌性感染从未被认为是AMS的病因之一,传染病学有关著作也无细菌感染为AMS病因的记述。本文报告2例伴同细菌感染而发生的AMS,提供了细菌感染也是脑脊液呈淋巴细胞增多的一种原因。例1:患孩女性,6月龄,原健康。就医时,体温39.4℃,无反应,断续抽搐,呈角弓反张,两眼向左斜视。体检发现软颚、上臂、胸部有散在瘀点、瘀斑。心脏无杂音。周围血白细胞9,900/立方毫米,中性多核39%,杆状核30%,有中毒性颗粒存在。腰穿脑脊液细胞数11/立方毫米(淋巴10,多
Aseptic Meningitis Syndrome (AMS) is a common cause of multiple etiology, with viral infection as the main cause. Acute bacterial infections have never been identified as one of the causes of AMS. Infectious diseases and bacterial infections are also described as causes of AMS. This article reports 2 cases of AMS accompanied by bacterial infection, providing a bacterial infection is also a cause of cerebrospinal fluid lymphocytosis. Example 1: Female child, 6 months old, formerly healthy. Medical treatment, the body temperature of 39.4 ℃, no response, intermittent convulsions, cornering bow anti-Zhang, his left strabismus. Physical examination found soft palate, upper arm, chest scattered petechia, ecchymosis. Heart no noise. Peripheral blood leukocytes 9,900 per cubic millimeter, 39% neutral multinucleated, 30% rod nucleus, presence of toxic particles. Waist wear cerebrospinal fluid cells 11 / mm3 (lymphatic 10, and more