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成年新型甲型H1N1流感感染患者出现脑炎、横纹肌溶解、肺炎和多发性神经病。

Adult Patient with Novel H1N1 Infection Presented with Encephalitis, Rhabdomyolysis, Pneumonia and Polyneuropathy.

作者信息

Patel Ketan K, Patel Atul K, Shah Shalin, Ranjan Rajiv, Shah Sudhir V

机构信息

Infectious Diseases Consultant, Infectious Diseases Clinic, "VEDANTA" Institute of Medical Sciences, Navarangpura, Ahmedabad, India.

出版信息

J Glob Infect Dis. 2012 Jul;4(3):178-81. doi: 10.4103/0974-777X.100581.

DOI:10.4103/0974-777X.100581
PMID:23055650
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3459436/
Abstract

Neurological complications of influenza are well known. Influenza A is commonly associated with neurological complications. Neurological complications especially encephalitis is described in the pediatric age group of patients with current pandemic novel H1N1 infection. We are describing a case of novel H1N1 infection presenting with multi-system involvement (encephalitis, bilateral pneumonia, severe rhabdomyolysis leading to renal failure and polyneuropathy) in adult patient.

摘要

流感的神经系统并发症是众所周知的。甲型流感通常与神经系统并发症有关。在当前大流行的新型H1N1感染患者的儿童年龄组中描述了神经系统并发症，尤其是脑炎。我们正在描述一例成年患者感染新型H1N1后出现多系统受累（脑炎、双侧肺炎、严重横纹肌溶解导致肾衰竭和多发性神经病）的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe13/3459436/a570c3255766/JGID-4-178-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe13/3459436/af9b1df4bd47/JGID-4-178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe13/3459436/ed239dd365a4/JGID-4-178-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe13/3459436/a570c3255766/JGID-4-178-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe13/3459436/af9b1df4bd47/JGID-4-178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe13/3459436/ed239dd365a4/JGID-4-178-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe13/3459436/a570c3255766/JGID-4-178-g003.jpg

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本文引用的文献

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[Rhabdomyolysis and acute renal failure in human influenza A H1N1 mediated infection].甲型H1N1流感介导感染中的横纹肌溶解症与急性肾衰竭
Gac Med Mex. 2009 Nov-Dec;145(6):519-21.
2
Acute necrotizing encephalopathy in a child with H1N1 influenza infection.儿童感染 H1N1 流感导致急性坏死性脑病。
Pediatr Radiol. 2010 Feb;40(2):200-5. doi: 10.1007/s00247-009-1487-z. Epub 2009 Dec 18.
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Complications of seasonal and pandemic influenza.季节性流感和大流行性流感的并发症。
Crit Care Med. 2010 Apr;38(4 Suppl):e91-7. doi: 10.1097/CCM.0b013e3181c92eeb.
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Novel influenza A (H1N1) presenting as an acute febrile encephalopathy in a mother and daughter.母女二人患新型甲型H1N1流感，表现为急性发热性脑病。
Clin Infect Dis. 2009 Dec 15;49(12):1966-7. doi: 10.1086/649014.
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Rhabdomyolysis associated with 2009 influenza A(H1N1).与2009年甲型H1N1流感相关的横纹肌溶解症
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Melting muscles: novel H1N1 influenza A associated rhabdomyolysis.肌肉溶解：新型 H1N1 流感 A 相关横纹肌溶解症。
Pediatr Infect Dis J. 2009 Dec;28(12):1138-9. doi: 10.1097/INF.0b013e3181c03cf2.
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MMWR Morb Mortal Wkly Rep. 2009 Jul 24;58(28):773-8.
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[Influenza myocarditis and pericarditis].[流感性心肌炎和心包炎]
Nihon Rinsho. 2006 Oct;64(10):1916-20.
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[Fulminant influenza type A associated myocarditis: a fatal case in an 8 year old child].[暴发性甲型流感相关性心肌炎：一名8岁儿童的致死病例]
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