登革病毒感染相关的急性横贯性脊髓炎
Acute transverse myelitis associated with dengue viral infection.
作者信息
Chanthamat Nouansompheng, Sathirapanya Pornchai
机构信息
Department of Internal Medicine, Prince of Songkla University, Hat yai, Songkhla, Thailand.
出版信息
J Spinal Cord Med. 2010;33(4):425-7. doi: 10.1080/10790268.2010.11689722.
Abstract
BACKGROUND
Acute transverse myelitis is a rare manifestation of dengue viral infection. Four cases have been previously reported in the literature.
OBJECTIVE
To report a case of a 61-year-old woman who developed acute transverse myelitis 6 days after the onset of a dengue viral infection.
FINDINGS
Magnetic resonance imaging of spinal cord showed hypersignal intensity on T2W at T9-T10. Laboratories studies revealed a high titer of hemagglutination inhibition of dengue virus. Treatment with intravenous pulse methylprednisolone and physiotherapy yielded a partial recovery, followed by complete resolution at 1 year postinfection.
CONCLUSION
Acute transverse myelitis is a rare manifestation of dengue infection that can occur in either the peri-infectious or postinfectious phases.
摘要
背景
急性横贯性脊髓炎是登革病毒感染的一种罕见表现。此前文献中已报道过4例。
目的
报告1例61岁女性，在登革病毒感染发病6天后发生急性横贯性脊髓炎。
结果
脊髓磁共振成像显示T9 - T10水平T2加权像上高信号强度。实验室检查显示登革病毒血凝抑制试验滴度高。静脉注射甲基强的松龙脉冲治疗及物理治疗后部分恢复，感染后1年完全恢复。
结论
急性横贯性脊髓炎是登革热感染的一种罕见表现，可发生在感染期或感染后期。
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