患者男性，４６岁，酒厂工人。因头痛１周，伴恶心、呕吐、发热２ｄ，在外院经查脑脊液诊断为结核性脑膜炎，予链霉素、结核清等抗结核治疗２周，病情未见好转而转入我院。既往有结核病史。近１个月出现咳嗽，偶带有少量粘痰，无长期低热及盗汗，无胸痛及咯血。查体：Ｔ３９． Male patient, 46 years old, winery worker. Due to headache 1 week, with nausea, vomiting, fever 2d, in the outer courtyard by the cerebrospinal fluid diagnosis of tuberculous meningitis, to streptomycin, tuberculosis and other anti-TB treatment for 2 weeks, the disease did not improve and transferred to our hospital. Past history of tuberculosis. Cough occurred in nearly 1 month, even with a small amount of phlegm, no long-term fever and night sweats, no chest pain and hemoptysis. Physical examination: T39.