(Disclaimer: This article is only for scientific purposes, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: This case is a 17-year-old girl, the main reason for fever, babbling to the clinic, after the visit to the hospital, urgent examination of blood routine: C-reactive protein suggests high inflammatory indicators, consider bacterial infection, neurological examination suggests: meningeal irritation signs positive, the rest of the examination does not cooperate. Afterward, cranial MR examination was performed, suggesting: abnormal signal shadow in the brain, considering acute meningitis. After admission, cerebrospinal fluid puncture was performed to clarify acute meningitis, and medication was given to treat the patient’s symptoms and stabilize her condition. 【Basic information】 Female, 17 years old 【Disease type】 Acute meningitis 【Hospital visit】 Shandong Third Hospital 【Time of visit】 November 2018 【Treatment plan】 Medication (dexamethasone sodium phosphate injection + cefotaxime sodium for injection + diazepam injection + phenobarbital sodium for injection + cytarabine sodium capsule + staphylococcus aureus tablets) 【Treatment cycle】 12 days of inpatient treatment and 1 week outpatient Review, 1 month telephone follow-up 【Treatment effect】Stabilized condition, cognitive dysfunction reduced I. Initial interview The patient is a 17-year-old girl, sent to the hospital directly from the school by her teacher, who said that she had a cold 1 week ago and had been taking oral medication, but had been suffering from low-grade fever, with a temperature of about 38°C. Her roommate and other teachers reported that the patient had a case of gibberish and was talking about non-existing things, and then she sent the patient to the hospital for consultation. patient to the clinic. After the visit, urgent blood tests: C-reactive protein suggests high inflammatory index, consider bacterial infection, neurological examination suggests: positive meningeal irritation sign, the rest of the examination does not cooperate. Cranial MR examination suggested: abnormal signal shadow in the brain, considering acute meningitis. The patient’s current condition is serious, immediately given arrangements for hospitalization, active treatment, and notify the parents to come to the hospital quickly. The patient was admitted to the hospital with restlessness and persistent fever, and was given dexamethasone sodium phosphate injection to reduce fever, cefotaxime sodium injection to fight infection, diazepam injection for sedation, and nutritional supportive therapy. After the patient’s parents arrived at the hospital, they communicated in detail about the patient’s condition, which was currently severe, accompanied by cognitive dysfunction and psychosis. Active treatment is needed, and there is a possibility that signs of neurological dysfunction will remain. The patient’s parents understood and expressed active cooperation with the treatment. After 3 days of treatment, the body temperature was reduced to normal, and during the treatment period there was a case of limb twitching, and injectable phenobarbital sodium was given to control the symptoms, and the EEG examination was perfected, suggesting an abnormal EEG and the presence of epileptic waves. Cerebrospinal fluid examination suggested a significantly elevated cell count and decreased chloride and sugar. The diagnosis of acute meningitis was supported. After 7 days of treatment, the patient’s condition was stabilized and the inflammatory indexes were reduced to normal. The patient’s infection symptoms in the early stage, parents did not realize the severity of the disease, did not actively go to the hospital for treatment, so it led to poor treatment results in the late stage, but after 12 days of treatment, the patient’s condition is stable, inflammatory indexes have dropped to normal, the blood did not see obvious abnormalities, the cerebrospinal fluid examination of the number of cells, protein, sugar, chloride review have significantly improved, only left a mild cognitive dysfunction, the main manifestations of The patient was discharged from the hospital after 1 week’s outpatient follow-up without any special discomfort, and was given drugs to improve cognitive function and drugs to nourish brain cells (cytarabine sodium capsule, sarcosine A tablets). 1 month later, the patient’s condition was stabilized without any special discomfort after a follow-up visit by phone. IV. Precautions The patient’s condition was recovered through treatment, and I was also very happy. Parents are advised to pay attention to the patient’s skin care during treatment, massage the limbs to avoid venous thrombosis and avoid falling into bed. After discharge from the hospital should pay more attention to the patient’s body temperature, conscious state, with or without headache, dizziness and other symptoms, should develop good habits, a good lifestyle will also help the recovery of the condition, pay attention to rest on time, to avoid staying up all night, tired; diet to high-protein, high-vitamin, high-fiber, easy-to-digest foods, such as meat, fish, fresh fruits and vegetables, grains and cereals, etc.; after the recovery of the patient can be strengthened physical exercise After recovery, you can strengthen physical exercise, starting with aerobic exercise, such as jogging, swimming, walking, etc., to enhance your physical fitness. V. Personal perception From the case, it can be summarized that the child boarding can develop a good learning habit and have a good learning atmosphere. However, during the child’s illness, parents should pay more attention and should communicate with the teacher to pay more attention to the child’s illness to avoid aggravation of the condition. When doctors see such children, they should pay attention to differentiate them from other diseases, such as viral meningitis, tuberculous meningitis, epilepsy, brain tumors and so on. They should follow up with the child regularly to monitor the improvement of the sequelae and adjust the medication if necessary. Usually the child needs to supplement nutrition and exercise.