疟疾后急性炎症性脱髓鞘性多发神经根神经病。

Acute inflammatory demyelinating polyradiculoneuropathy following malaria.

机构信息

Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.

Department of Neurology, Johns Hopkins University, Baltimore, MD, USA.

出版信息

J Clin Neurosci. 2014 Apr;21(4):704-6. doi: 10.1016/j.jocn.2013.07.031. Epub 2013 Oct 10.

DOI:10.1016/j.jocn.2013.07.031

PMID:24417794

Abstract

Among the neurologic complications of malaria, acute inflammatory demyelinating polyradiculoneuropathy is a rarely reported phenomenon. We describe a patient with acute inflammatory demyelinating polyradiculoneuropathy following malaria in a 26-year-old traveler to an endemic area and review the clinical features of all 23 previously reported patients. Malarial infection should be considered as a potential preceding trigger in patients residing in or travelers returning from malaria-endemic areas presenting with the clinical features of acute inflammatory demyelinating polyradiculoneuropathy in the setting of a recent or ongoing febrile illness.

摘要

在疟疾的神经并发症中，急性炎症性脱髓鞘性多发性神经病是一种罕见的现象。我们描述了一名 26 岁前往流行地区的旅行者在疟疾后发生急性炎症性脱髓鞘性多发性神经病的病例，并回顾了此前报道的 23 例患者的临床特征。对于居住在疟疾流行地区或从疟疾流行地区返回的患者，在近期或正在发热的疾病背景下出现急性炎症性脱髓鞘性多发性神经病的临床特征时，应考虑疟疾感染作为潜在的前驱触发因素。