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原发性水痘-带状疱疹病毒感染八个月后发生脑梗死

[Cerebral infarct eight months after primary Varicella-zoster virus infection].

作者信息

Bjerrum Maja Carsting, Nielsen Jens Erik Klint, Nordling Mette Maria

机构信息

Pædiatrisk Afdeling, Rigshospitalet, Blegdamsvej 9, 2100 København Ø.

出版信息

Ugeskr Laeger. 2013 Nov 25;175(48A).

Abstract

Ischemic stroke is a recognised complication of Varicella-zoster virus (VZV) infections. We report on an otherwise healthy four-year-old boy who presented with acute neurological symptoms due to cerebral infarction eight months after primary VZV infection. Magnetic resonance imaging showed an infarct located to the left nucleus lentiformis. The patient was treated intravenously with aciclovir and steroid. With this case report we underline the importance of looking into the history of VZV infection when children present with prolonged neurological symptoms.

摘要

缺血性中风是水痘-带状疱疹病毒(VZV)感染公认的并发症。我们报告一例原本健康的4岁男孩,在原发性VZV感染8个月后因脑梗死出现急性神经症状。磁共振成像显示梗死灶位于左侧豆状核。该患者接受了阿昔洛韦和类固醇静脉治疗。通过本病例报告,我们强调当儿童出现长期神经症状时,了解VZV感染病史的重要性。

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