Pamphlett R, Walsh J
Department of Pathology (Neuropathology), University of Sydney, NSW, Australia.
Acta Neuropathol. 1989;78(1):101-4. doi: 10.1007/BF00687409.
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".
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。