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患者王××男43岁河南淮滨人。以张口受限左侧偏头痛月余,高烧视蒙恶心呕吐眼球突出七天为主诉,以左眶蜂窝织炎败血症收住。一月前感冒未愈左侧牙痛,在×院拔除龋齿后症状加剧,张口受限,治疗无效转×医院,经胸部照片右上肺有模糊阴影,以肺结核住传染科,抗痨廿余天无效,张口仅容一小手指,口腔科又将患牙槽脓肿的牙拔除,症状稍有缓解。但一周后左眼眶内跳痛伴同侧偏头痛,经会诊疑为结核性脑膜炎,加大抗痨药
Wang × × male patient 43 years old Huai Bin, Henan Province. Limited to the left migraine headache more than a month, high fever as the main disgusting nausea and vomiting eyes prominent seven days, with orbital cellulitis septicemia admitted. A month ago, the cold did not heal the toothache on the left, after the removal of dental caries in x hospital, the symptoms were aggravated, the mouth was limited and the treatment was ineffective. Transferred to the hospital, the chest photo of the upper right lung has a fuzzy shadow to tuberculosis living infectious diseases, Zhang mouth only for a small finger, dentistry and alveolar abscess tooth removal, the symptoms slightly ease. But a week after the left orbital pain with ipsilateral migraine headache, the consultation was suspected of tuberculous meningitis, increased anti-tuberculosis drugs