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病例特点:患者为中年女性,以长期发热、持续性头痛为临床主要表现,行抗结核治疗一度有效。既往有结核性胸膜炎,脑脊液似结核性脑膜炎(简称结脑)样改变,但涂片墨汁染色未找到隐球菌。脑电图:中度异常。在诊断及鉴别诊断方面应考虑以下疾病: 1.结核性脑膜炎结脑常见于儿童,但也可发生于任何年龄者。常是粟粒性结核的并发症。死于本病的尸体解剖中,65.8～78％伴全身粟粒性结核。本例有过胸膜结核病史,并以发热、头痛等为首发症状;脑膜刺激征阳性;脑脊液检查符合结脑改变。但
Case Features: The patient is middle-aged women with long-term fever, persistent headache as the main clinical manifestations, the anti-TB treatment was once effective. Previously, tuberculous pleurisy, cerebrospinal fluid similar to tuberculous meningitis (referred to as knot brain) -like changes, but smear ink stain did not find Cryptococcus. EEG: moderate abnormalities. In the diagnosis and differential diagnosis should consider the following diseases: 1. Tuberculous meningitis knot brain common in children, but can also occur at any age. Often miliary tuberculosis complications. The autopsy died of this disease, 65.8 to 78% with systemic miliary tuberculosis. This case had a history of pleural tuberculosis and fever, headache, etc. as the first symptom; positive meningeal irritation; cerebrospinal fluid examination consistent with changes in the brain. but