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本文报告5例使用头孢菌素期间发生的脑膜炎。例1,原有多发性骨髓瘤,经化疗后病情稳定7个月。后出现右上叶肺炎球菌性肺炎及肺炎球菌菌血症,经用头孢菌素治疗48小时后(总量12克)发生肺炎球菌性脑膜炎。例2,因患急性胆囊炎用头孢菌素治疗42小时后(总量3.5克)发生奈瑟氏脑膜炎球菌性脑膜炎。例3,病人有糖尿病、慢性洒精中毒。3年前患过克雷白菌肺脓肿。此次又因肺部克雷白菌感染及菌
This article reports on five cases of meningitis that occurred during cephalosporins use. Example 1, the original multiple myeloma, stable condition after chemotherapy for 7 months. After the emergence of the right upper lobe pneumococcal pneumonia and pneumococcal bacteremia, after 48 hours of treatment with cephalosporins (total 12 grams) pneumococcal meningitis. Example 2 Neisserial meningococcal meningitis developed after 42 hours of treatment with acute cholecystitis (total 3.5 g) with cephalosporins. Example 3, the patient has diabetes, chronic alcohol poisoning. Three years ago had Cretaceous lung abscess. This time because of Klebsiella pneumoniae infection and bacteria