前篩骨洞開放手術後に発生せる化膿性髓膜炎の1治験例

　緒言

　鼻性化膿髄膜炎は耳性のものに比し其の予後極めて不良とされた。即ち稲村^1）に依れば当時（昭和14年）本邦に於ける其れ迄の40例の報告の中，治癒せるもの僅か4例，死亡率90％に達していたが其の後，著しい抗生物質の発達に依つて予後も比較的良好となり寺山^2）は昭和23年より27年同氏に至る迄では死亡率40％に減少した事を報告している。最近私も同様の症例を経験し幸いにも治癒せしめ得たので茲に報告する。

Motosugi reports a case of traumatic meningitis of operative origin. The patient, a girl aged 16, developed symptoms of menin-gitis following an operation on the ethmoids during which procedure the lamina cribrosa was accidently broken through. By use of a large amount of antibiotics the patient recovered from meningitis within 80 days since its onset. A review of literature revealed 92 cases of meningitis reported to date; the mortality rate of cases prior to 1948 is 80 % but, after which it has dropped to 30 %. Regardless of the origin with which this disease may be established gene-ral mortality rate remains to be about the same. In operative origin the disease is most likely established within 3 days after the injury.