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驻站医、咽痛、脑膜刺激症状、食欲不振、谵妄、吞咽困难、瘀斑、烦躁不安
Purulent meningitis is acute bacterial suppuration of the leptomeninges, most often due to Neisseria meningitidis, Streptococcus pneumoniae, or H. influenzae. Clinical: fever, severe headache, neck stiffness, photophobia, vomiting, petechial/purpuric rash, and altered consciousness. It is a life-threatening emergency. Diagnosis by lumbar puncture (purulent CSF, high neutrophil/protein, low glucose). Treatment: prompt empiric IV antibiotics, dexamethasone adjunct, and supportive ICU care.
Fever; severe headache; neck stiffness; photophobia; petechial/purpuric rash; altered consciousness; vomiting
Pyogenic bacteria reach the subarachnoid space and cause purulent leptomeningeal inflammation, cerebral edema, and raised intracranial pressure.
Prompt empiric IV antibiotics; dexamethasone adjunct; ICU supportive care; manage seizures/hydrocephalus
Vaccination; prompt treatment; chemoprophylaxis for close contacts.
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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