病历摘要 患儿男,5个月。因发热4月余于1994年3月21日入院。生后12天无明显诱因出现高热,体温39℃左右。呼吸急促,无流涕、咳嗽、吐泻,无抽搐。在当地医院静滴青霉素、地塞米松等药物后热退。2天后体温复升,症状同前,继续以上治疗,效果欠佳,体温38～41℃,此间抽搐7～8次,每次发作体温均达41℃,时间短暂,能自行缓解,缓解后如常。在当地医院做血(包括L菌培养2次)、大小便、脑脊液培养,脑脊液常规,颅脑CT及腹部B超均未见异常。入院后静滴多种抗生素、输血 Summary of medical records Children male, 5 months. April due to fever in March 21, 1994 admission. 12 days after birth, no obvious incentive for fever, temperature 39 ℃ or so. Shortness of breath, no runny nose, cough, vomiting, no convulsions. In the local hospital intravenous penicillin, dexamethasone and other drugs after the heat back. 2 days after the body temperature rise, the same symptoms, continue the above treatment, the effect is not good, body temperature 38 ~ 41 ℃, 7 to 8 times convulsions during the seizures, body temperature reached 41 ℃ per episode, time is short, relieve itself as usual . In the local hospital to do the blood (including L bacteria culture 2 times), urine, cerebrospinal fluid culture, routine cerebrospinal fluid, brain CT and abdomen B-were no abnormalities. After intravenous infusion of a variety of antibiotics, blood transfusion