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19 岁男性患者在造血干细胞移植后出现未明严重联合免疫缺陷,并发腮腺炎病毒脑炎:一种罕见的致命并发症。

Mumps virus encephalomyelitis in a 19-year old male patient with an undefined severe combined immunodeficiency post-haematopoietic bone marrow transplantation: a rare fatal complication.

机构信息

Wessex Blood and Marrow Transplantation Programme, Department of Haematology, Southampton University Hospitals Trust, SO16 6YD, UK.

出版信息

J Clin Virol. 2013 Jun;57(2):165-8. doi: 10.1016/j.jcv.2013.02.003. Epub 2013 Feb 26.

DOI:10.1016/j.jcv.2013.02.003
PMID:23485346
Abstract

We describe a rare case of fatal mumps encephalomyelitis occurring in 19-year old male following matched unrelated donor peripheral blood haematopoietic stem cell transplantation (HSCT). The indication for HSCT was for an undefined form of severe combined immunodeficiency (SCID). Molecular typing of the mumps viral RNA isolated from neural tissue indicated that the infection was acquired at the time of a mumps outbreak in England and Wales that occurred between 2004 and 2006. This case highlights the importance of considering mumps in the differential diagnosis of central nervous system infection in highly immunosuppressed patients.

摘要

我们描述了一例罕见的致命流行性腮腺炎脑炎病例,发生在一名 19 岁男性,他在接受匹配的无关供体外周血造血干细胞移植(HSCT)后。HSCT 的适应证是一种未明的严重联合免疫缺陷(SCID)。从神经组织中分离出的腮腺炎病毒 RNA 的分子分型表明,感染发生在 2004 年至 2006 年期间在英国和威尔士发生的腮腺炎暴发期间。该病例强调了在高度免疫抑制患者的中枢神经系统感染鉴别诊断中考虑腮腺炎的重要性。

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