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钩端螺旋体病所致颅内出血的康复情况。

Recovery from intracranial hemorrhage due to leptospirosis.

作者信息

Babamahmoodi Farhang, Babamhmoodi Abdolreza

机构信息

Infectious Diseases Department, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Case Rep Med. 2011;2011:504308. doi: 10.1155/2011/504308. Epub 2011 Oct 5.

DOI:10.1155/2011/504308
PMID:22013452
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3189475/
Abstract

Intracranial hemorrhage is a rare and fatal presentation of leptospirosis. In this paper we present the case of a 51-year-old male farmer who lives in northern Iran. He came to our hospital with a severe headache. A paraclinical evaluation showed clear signs of thrombocytopenia, and a brain MRI revealed left temporoparietal hemorrhage. Our preliminary diagnosis was Leptospirosis, and after 26 days of hospital care the patient was discharged in good condition. This paper will educationally help physicians in better diagnosis and treatment of leptospirosis.

摘要

颅内出血是钩端螺旋体病一种罕见且致命的表现形式。在本文中,我们报告了一名居住在伊朗北部的51岁男性农民的病例。他因剧烈头痛前来我院就诊。辅助检查显示有明显的血小板减少迹象,脑部磁共振成像(MRI)显示左颞顶叶出血。我们的初步诊断为钩端螺旋体病,经过26天的住院治疗,患者康复出院。本文将有助于医生更好地诊断和治疗钩端螺旋体病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a33/3189475/b07e8c99a49d/CRIM2011-504308.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a33/3189475/b07e8c99a49d/CRIM2011-504308.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a33/3189475/b07e8c99a49d/CRIM2011-504308.001.jpg

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本文引用的文献

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Coagulation disorders in patients with severe leptospirosis are associated with severe bleeding and mortality.严重钩端螺旋体病患者的凝血障碍与严重出血和死亡率相关。
Trop Med Int Health. 2010 Feb;15(2):152-9. doi: 10.1111/j.1365-3156.2009.02434.x. Epub 2009 Dec 9.
2
Leptospirosis: an emerging global public health problem.钩端螺旋体病:一个新出现的全球公共卫生问题。
J Biosci. 2008 Nov;33(4):557-69. doi: 10.1007/s12038-008-0074-z.
3
Predictors of lethality in severe leptospirosis in urban Brazil.巴西城市地区重症钩端螺旋体病致死率的预测因素
伊朗北部出血性黄疸型钩端螺旋体病患者的临床、实验室表现及转归
Med J Islam Repub Iran. 2015 Dec 15;29:308. eCollection 2015.
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Commentary.评论
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What role do coagulation disorders play in the pathogenesis of leptospirosis?凝血功能障碍在钩端螺旋体病的发病机制中起什么作用?
Trop Med Int Health. 2007 Jan;12(1):111-22. doi: 10.1111/j.1365-3156.2006.01792.x.
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Neuroleptospirosis - revisited: experience from a tertiary care neurological centre from south India.钩端螺旋体性脑炎——再探讨:来自印度南部一家三级护理神经科中心的经验
Indian J Med Res. 2006 Aug;124(2):155-62.
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Leptospirosis with transverse myelitis.
J Assoc Physicians India. 2005 Feb;53:159-60.
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The pathologic anatomy and pathogenesis of fatal human leptospirosis (Weil's disease).致死性人类钩端螺旋体病(韦尔氏病)的病理解剖与发病机制
Am J Pathol. 1962 Apr;40(4):393-423.
8
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