https://scholars.lib.ntu.edu.tw/handle/123456789/566661
標題: | Haemophilus influenzae type b meningitis with subdural effusion: A case report | 作者: | Chan P.-C. CHUN-YI LU PING-ING LEE Yang T.-Y. Chen R.-T. Ho Y.-H. Yang S.-C. CHIN-YUN LEE LI-MIN HUANG |
公開日期: | 2002 | 卷: | 35 | 期: | 1 | 起(迄)頁: | 61-64 | 來源出版物: | Journal of Microbiology, Immunology and Infection | 摘要: | Haemophilus influenzae type b causes invasive infection in children under 2 years of age. The disease may be complicated with hearing impairment, lowered learning ability, and other neurologic sequelae. The incidence of invasive H. influenzae type b has declined dramatically after the introduction of routine administration of protein-conjugated H. influenzae type b vaccine in the United States and some other countries. Because of its low incidence in Taiwan, many clinicians are not familiar with the initial symptoms and management of H. influenzae type b. This case report describes a 7-month-old H. influenzae type b meningitis patient who had initial presentations of prolonged intermittent fever and vague neurologic signs. Left peripheral facial palsy with hearing loss in left ear and bilateral frontal subdural effusion developed during the first 5 days of cefotaxime therapy. Betamethasone was then given for 4 days to relieve the severe inflammation. Drug-induced fever was observed after 11 days of antibiotic use and subsided with prednisolone treatment. Left ear hearing impairment persisted during the follow-up period, but the children did not experience other significant development delay. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036209342&partnerID=40&md5=387ce125aacba7a5e47d40f5cb4ce3d7 https://scholars.lib.ntu.edu.tw/handle/123456789/566661 |
ISSN: | 0253-2662 | SDG/關鍵字: | amoxicillin; antibiotic agent; betamethasone; cefalexin; cefotaxime; cefradine; clavulanic acid; Haemophilus influenzae vaccine; prednisolone; article; bacterial meningitis; case report; corticosteroid therapy; facial nerve paralysis; Haemophilus influenzae type b; hearing loss; human; infant; male; subdural effusion; Taiwan; Humans; Infant; Male; Meningitis, Haemophilus; Subdural Effusion |
顯示於: | 醫學系 |
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