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膈肌瘫痪:登革热的罕见后果。

Diaphragmatic paralysis: a rare consequence of dengue fever.

机构信息

Department of medicine (ward 45), the National hospital of Sri Lanka, Regent Street, Colombo 00800, Sri Lanka.

出版信息

BMC Infect Dis. 2012 Feb 22;12:46. doi: 10.1186/1471-2334-12-46.

Abstract

BACKGROUND

Dengue is considered one of the most common mosquito borne illnesses in the world. Although its clinical course is usually uneventful, complications have rarely been known to arise. These include neurological manifestations such as neuropathies.

CASE PRESENTATION

We report a middle aged patient from urban Sri Lanka who developed diaphragmatic paralysis secondary to phrenic neuropathy a month after recovering from dengue fever. He was managed conservatively and made a full recovery subsequently.

CONCLUSION

Isolated phrenic nerve palsy causing diaphragmatic paralysis should be considered a recognized complication of Dengue fever. A patient usually gains full recovery with conservative management.

摘要

背景

登革热被认为是世界上最常见的由蚊子传播的疾病之一。虽然其临床过程通常不严重,但也有罕见的并发症发生。这些并发症包括神经病变等神经系统表现。

病例介绍

我们报告了一位来自斯里兰卡城市的中年患者,他在登革热痊愈一个月后,因膈神经病变而发生膈肌瘫痪。他接受了保守治疗,随后完全康复。

结论

孤立性膈神经麻痹导致的膈肌瘫痪应被视为登革热的一种公认并发症。患者通常通过保守治疗获得完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3ce/3305576/817dd4e1a65c/1471-2334-12-46-1.jpg

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