伴有脑炎的地中海斑疹热
Mediterranean spotted fever with encephalitis.
作者信息
Aliaga Luis, Sánchez-Blázquez Patricia, Rodríguez-Granger Javier, Sampedro Antonio, Orozco Miguel, Pastor Jorge
机构信息
Faculty of Medicine (University of Granada), Hospital Universitario Virgen de las Nieves, Avda Fuerzas Armadas, s/n, 18014 Granada, Spain.
Service of Microbiology, Hospital Universitario Virgen de las Nieves, Avda Fuerzas Armadas, s/n, 18014 Granada, Spain.
出版信息
J Med Microbiol. 2009 Apr;58(Pt 4):521-525. doi: 10.1099/jmm.0.004465-0.
Rickettsia conorii infection is endemic in the Mediterranean basin, where it is known as Mediterranean spotted fever, also known as Boutonneuse fever and Marseilles fever. We report the case of a 66-year-old diabetic man who presented a severe form of the disease, complicated by acute renal failure, thrombocytopenia and encephalitis. Diagnosis was confirmed by indirect immunofluorescence assay. Despite appropriate treatment, severe neurological sequelae have remained. Medical literature on encephalitis caused by R. conorii is also reviewed.
康氏立克次体感染在地中海盆地为地方性流行病，在该地被称为地中海斑疹热，也称作纽扣热和马赛热。我们报告了一例66岁糖尿病男性患者，其呈现出该病的严重形式，并伴有急性肾衰竭、血小板减少症和脑炎等并发症。通过间接免疫荧光试验确诊。尽管进行了适当治疗，但仍遗留严重的神经后遗症。本文还对康氏立克次体引起的脑炎的医学文献进行了综述。
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