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陈某某,男,18岁,1985年5月10日以全身乏力10天、发热、颈项强痛7天为主诉入院。检查:体温37.8℃,神志清,颈强有抵抗,克尼格氏征阳性,其余神经检查未见异常。周围血象检查正常,血沉30mm/h,脑脊液(CSF)白细胞0.015×109/L,蛋白、氯化物、糖均正常,未检出隐球菌。脑电图呈界限性改变,拟诊病毒性脑膜炎。应用皮质激素等治疗7天明显好转,17天后复查CSF正常。治愈出院后持续应用神经营养剂,并每1～2周肌注丙种球蛋白1支(300mg)。但分别于1985年11月,1986年2月和8月先后复发3次,临床表现类同。无服用驱虫药史。均应用皮质激素等治疗半月左右痊愈出院。1987年4月再次复发,表现发热
Chen Moumou, male, 18 years old, May 10, 1985 with generalized weakness for 10 days, fever, neck strong pain for 7 days mainly for admission. Check: body temperature 37.8 ℃, clear consciousness, strong neck resistance, positive Crohn’s syndrome, the remaining nerve examination showed no abnormalities. Peripheral blood as normal, erythrocyte sedimentation rate 30mm / h, cerebrospinal fluid (CSF) leukocytes 0.015 × 109 / L, protein, chloride, sugar were normal, no detection of Cryptococcus. EEG showed a limited change, to be diagnosed viral meningitis. Application of corticosteroids and other treatment was significantly improved for 7 days, 17 days after the review of CSF normal. Neurotrophic agents were administered continuously after discharge from the hospital and 1 g of globulin (300 mg) was given intramuscularly every 1 to 2 weeks. However, they relapsed three times in November 1985, February 1986 and August respectively, with similar clinical manifestations. No taking deworming drug history. All patients were treated with corticosteroids for about half a month and recovered. April 1987 relapse again, the performance of fever