摘要
Staphylococcus aureus meningitis(SAM)is a relatively uncommon but serious disease,accounting for only 1%–9%of cases of bacterial meningitis.In this report,we described a 61-year-old man,whose appearance of CSF was bloody and purulent.CSF test showed extremely elevated WBC count and protein quantification.Bacterial culture demonstrated SAM.Complications included septic shock,acute respiratory failure,and renal failure.Empiric antibiotic treatment was not effective for him.Therefore,we prescribed up to five types of antibiotics.We found that the clinical symptoms,CSF indicators,inflammatory markers,respiratory and renal function got better.The nerve function comparatively recovered well after 6 months of follow-up.
金黄色葡萄球菌脑膜炎(SAM)是一种相对罕见但严重的疾病,仅占细菌性脑膜炎比例的1%–9%。在本报道中,我们介绍了一位61岁的老人,他的脑脊液外观为脓血性,脑脊液化验显示白细胞计数和蛋白定量极高,细菌培养确定为金黄色葡萄球菌脑膜炎。病程中并发了感染性休克,急性呼吸衰竭和急性肾功能衰竭。经验性抗生素治疗对他无效,因此我们同时使用了多达5种抗生素。之后患者的临床症状、脑脊液指标、炎症指标、呼吸功能和肾功能均明显好转。出院6个月后的随访显示患者的神经功能恢复良好。
