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一个男孩无法移动他的手臂。

A boy unable to move his arm.

作者信息

Cantu Rebecca M, Steele Russell W

机构信息

Tulane University School of Medicine, New Orleans, LA, USA.

出版信息

Clin Pediatr (Phila). 2010 Mar;49(3):293-6. doi: 10.1177/0009922809360249.

DOI:10.1177/0009922809360249
PMID:20164075
Abstract

An 11-year-old boy presented with inability to move his right arm, back and neck pain, and fever. He had a history of recurrent vesicular rash on his face three times over the past two years. Magnetic resonance imaging (MRI) showed diffuse expansile cervical cord, leading to a diagnosis of transverse myelitis. After 3 days of intravenous solumedrol, the patient was discharged, but returned the following day with a vesicular rash to the right arm, as well as vomiting, malaise and diffuse pruritus.Wright-Giemsa stain of the vesicles revealed herpes group virus and culture was positive for herpes simplex type 1.

摘要

一名11岁男孩出现右臂无法活动、背部和颈部疼痛以及发热症状。他在过去两年中有过三次面部反复出现水疱性皮疹的病史。磁共振成像(MRI)显示颈髓弥漫性扩张,诊断为横贯性脊髓炎。静脉注射甲泼尼龙3天后,患者出院,但第二天因右臂出现水疱性皮疹、呕吐、不适和全身瘙痒而复诊。水疱的瑞氏-吉姆萨染色显示疱疹病毒群,单纯疱疹病毒1型培养呈阳性。

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