[S。小儿脑室分流未见腰脑脊液细胞化学改变的金黄色脑膜感染3例[j]。

Pediatrie Pub Date : 1993-01-01
C Jourdan, J Convert, A Terrier, J Grando, V Mircesvki, C Mottolese, C Rousselle, C Lapras
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引用次数: 0

摘要

作者报告3例葡萄球菌性脑脊液(CSF)感染,白细胞计数正常,脑脊液葡萄糖水平正常,反复腰椎CSF检查。所有三个孩子(2个月,17个月和4岁)都在一到两个月前接受了新生儿脑积水手术,并设置了脑室-腹膜分流术。因发热而无明显临床症状,怀疑感染。2例血浆C反应蛋白水平升高,3例均有白细胞增多。通过脑室脑脊液细菌学检查诊断。手术和内科治疗都是必需的,细菌学结果是有利的。由于如果治疗延迟,可能会出现神经系统后遗症,因此需要及时评估这种非典型感染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[S. aureus neuromeningeal infection in 3 children with ventricular shunts without cytochemical changes in the lumbar cerebrospinal fluid].

The authors report on three cases of staphylococcal cerebrospinal fluid (CSF) infection with normal white blood cell count and normal CSF glucose level in repeated lumbar CSF examination. All three children (2 months, 17 months and 4 years old) have been operated for neonatal hydrocephalus with setting of a ventriculo-peritoneal shunt one to two months before. Infection was suspected because of fever without evocative clinical signs. In two cases plasma C reactive protein level was increased, and in all three cases a leucocytosis was present. The diagnosis was made by bacteriological examination of the ventricular CSF. Both surgical and medical management were required and the bacteriological outcome was favourable. Since neurological sequellae may occur if the treatment is delayed such atypical infection needs to be promptly assessed.

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