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感染性心内膜炎伴外周神经系统炎性病变。

Infective endocarditis with inflammatory lesions in the peripheral nervous system.

作者信息

Pamphlett R, Walsh J

机构信息

Department of Pathology (Neuropathology), University of Sydney, NSW, Australia.

出版信息

Acta Neuropathol. 1989;78(1):101-4. doi: 10.1007/BF00687409.

DOI:10.1007/BF00687409
PMID:2544070
Abstract

A 64-year-old woman developed septicemia and a generalized peripheral neuropathy while being ventilated postoperatively. No cause for the neuropathy could be found during life. At autopsy she was found to have infective endocarditis and multifocal inflammatory lesions in the central and peripheral nervous systems, consistent with damage due to septic emboli. Infective endocarditis may be a cause of a generalized polyradiculoneuropathy and could be responsible for a proportion of cases of "critical illness polyneuropathy".

摘要

一名64岁女性术后接受机械通气时发生败血症及全身性周围神经病变。生前未发现该神经病变的病因。尸检发现她患有感染性心内膜炎以及中枢和周围神经系统的多灶性炎性病变,符合脓毒性栓子所致损伤。感染性心内膜炎可能是全身性多神经根神经病的一个病因,并且可能是一部分“危重病性多发性神经病”病例的病因。

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本文引用的文献

1
Peripheral neuritis in periarteritis nodosa; a clinicopathologic study.结节性多动脉炎中的周围神经炎;一项临床病理研究。
Arch Intern Med (Chic). 1948 Oct;82(4):321-38. doi: 10.1001/archinte.1948.00020040001001.
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Neurologic manifestations of bacterial endocarditis.细菌性心内膜炎的神经系统表现。
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3
The immune complex glomerulonephritis of bacterial endocarditis.细菌性心内膜炎的免疫复合物性肾小球肾炎
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5
Embolic mononeuropathy and bacterial endocarditis.栓塞性单神经病与细菌性心内膜炎。
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6
Neurologic complications of infective endocarditis.感染性心内膜炎的神经系统并发症
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7
Critical illness polyneuropathy. A complication of sepsis and multiple organ failure.危重病性多发性神经病。脓毒症和多器官功能衰竭的一种并发症。
Brain. 1987 Aug;110 ( Pt 4):819-41. doi: 10.1093/brain/110.4.819.