156.4 📌 章末速蚘

  • Gram + rod, intracellular, cold-tolerant
  • 䞉族矀: å­•å©Š / 新生兒 / 老人+免疫䜎䞋
  • Meningoencephalitis + Rhombencephalitis (brainstem)
  • Food: deli, soft cheese, raw milk, sprouts, smoked fish
  • Treatment: Amp + Gent (synergy first 7-10d)
  • PCN allergy: TMP-SMX
  • Ceph 䞍管甚 (intrinsic R)
  • Empirical meningitis ≥ 50/immuno: vanco + ceftriaxone + AMPICILLIN ± dex
  • 2024 倧 outbreak 持續 (deli meat, plant-based milk)