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患者,男,54岁。主因拔牙后头痛3天伴左侧肢体活动障碍1天来院。患者入院前1个月因右上颌后牙痛,到本村牙医处将(?)拔除。拔牙后患者渐觉头痛,以右侧为重,并伴恶心、嗜唾。入院前一天出现左侧肢体活动性障碍,逐来本院。近期无其它急性感染史。头颅CT示:右侧颞部脑组织有小片状低密度阴影。血常规:白细胞19.2×10~9/L,中性0.84,淋巴0.16。结合病史与查体,以“化脓性脑膜炎”收入神经内科。经给予抗感染治疗气10天后,复查头颅CT示:左颞部脑脓肿形
Patient, male, 54 years old. Mainly due to tooth extraction headache after 3 days with left limb movement disorders 1 day to hospital. One month prior to admission to the hospital due to right maxillary posterior toothache, to the village dentist will (?) Removal. After tooth extraction patients gradually headache, to the right as the most important, and with nausea, addicted to saliva. On the day before admission, left limb activity disorder appeared and came to our hospital. No other recent history of acute infection. Head CT showed: the right temporal brain tissue with small pieces of low-density shadow. Blood: white blood cells 19.2 × 10 ~ 9 / L, neutral 0.84, lymph 0.16. Combined with medical history and physical examination, with “purulent meningitis” income neurology. After given anti-infection treatment gas 10 days, review head CT showed: left temporal brain abscess