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患儿曾××,男性,7岁,住院号170755,于1979年2月21日因头痛、呕吐、低热20多天入院。入院前20多天开始头痛,由轻到重,后呈持续性头痛,常伴呕吐,有低热,曾住当地医院治疗两周,诊断不明,后转来我院。既往无特殊病史,其父过去曾患肺结核(?)。体检:体温38.7℃～36.7℃,发育一般。颈部有抵抗感,克匿格氏征阳性(+),勃鲁辛斯基氏征阳性(+),其他病理反射阴性。化验检查:白细胞8000/mm~3,中性细胞76%,淋巴细胞22%,嗜酸性细胞2%;脑脊液检查:无色,微浑,细胞计数400个,中性50%,淋巴50%,糖四管阳性,潘迪氏试验阳性(+),脑脊液墨汁涂片发现新型隐球菌。尿检查:蛋白少许,上皮细胞少许。于入院的次日,因头痛剧烈再抽脑脊液检查,新型隐球菌仍为阳性。
Children have × ×, male, 7 years old, hospitalization 170755, on February 21, 1979 due to headache, vomiting, fever more than 20 days admission. More than 20 days before admission, headache, from light to heavy, followed by persistent headache, often accompanied by vomiting, fever, had lived in a local hospital for two weeks, diagnosis is unknown, after the transfer to our hospital. In the past, there was no special medical history and his father had tuberculosis (?) In the past. Physical examination: body temperature 38.7 ℃ ~ 36.7 ℃, development in general. The neck had a sense of resistance, positive for Kevage’s syndrome (+), positive for Brushinski’s sign (+), and negative for other pathological reflexes. Laboratory tests: white blood cells 8000 / mm ~ 3, 76% of neutral cells, 22% of lymphocytes, eosinophils 2%; cerebrospinal fluid examination: colorless, slightly muddy, 400 cell counts, Four positive sugar, Pandy’s test positive (+), cerebrospinal fluid ink smear found Cryptococcus neoformans. Urinalysis: a little protein, a little epithelial cells. The day after admission, due to severe headache and then cerebrospinal fluid examination, Cryptococcus neoformans is still positive.