医
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脑脓肿、颈强直、昏迷、恶心与呕吐、脑积水、耳聋、嗜睡、共济失调、反复上呼吸道感染、毓卓、脑膜炎
Hemophilus influenzae meningitis is a purulent bacterial meningitis caused by H. influenzae (mostly type b), historically common in unvaccinated infants and young children. Clinical: fever, headache, neck stiffness, vomiting, altered mental status, and possibly petechial rash; in infants, irritability, poor feeding, and bulging fontanelle. Diagnosis by lumbar puncture/CSF culture. Treatment: third-generation cephalosporin (ceftriaxone) promptly; rifampin prophylaxis for close contacts; Hib vaccination has greatly reduced incidence.
Fever; headache; neck stiffness; vomiting; altered mental status; infant irritability/bulging fontanelle
H. influenzae (type b) invades the meninges after nasopharyngeal colonization, causing purulent leptomeningeal inflammation.
Prompt ceftriaxone; supportive care; rifampin prophylaxis for close contacts; manage complications
Hib vaccination; rifampin chemoprophylaxis for contacts; early treatment.
It is recommended to visit the Infectious Diseases department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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