Seneviratne Janaka K, Blair Janis E, Smith Benn E
Department of Neurology, Mayo Clinic, Scottsdale, AZ 85259, USA.
Muscle Nerve. 2008 Dec;38(6):1644-8. doi: 10.1002/mus.21104.
Neurologic manifestations of Q fever are predominantly central. We report the case of a 35-year-old man with recurrent fever and motor and sensory deficits in the right C5, C6 territories. Electrophysiological findings were consistent with a right upper-trunk brachial plexopathy or with suprascapular and axillary neuropathies. The patient had full resolution of neurologic symptoms with antibiotic treatment. The association of brachial plexopathy with Q fever infection, described in other rare instances, may merit consideration in individual cases, depending on clinical context.
Q热的神经系统表现主要累及中枢。我们报告一例35岁男性病例，该患者反复发热，右侧C5、C6区域存在运动和感觉功能障碍。电生理检查结果符合右侧臂丛上干病变或肩胛上神经及腋神经病变。经抗生素治疗后，患者的神经症状完全缓解。臂丛神经病变与Q热感染的关联在其他罕见病例中已有描述，根据临床情况，在个别病例中可能值得考虑。
