鼠伤寒立克次体所致外展神经麻痹和脑膜炎
Abducens nerve palsy and meningitis by Rickettsia typhi.
作者信息
Moy Wai Lun, Ooi Say Tat
机构信息
Department of General Medicine, Khoo Teck Puat Hospital, Singapore
Department of General Medicine, Khoo Teck Puat Hospital, Singapore.
出版信息
Am J Trop Med Hyg. 2015 Mar;92(3):620-4. doi: 10.4269/ajtmh.14-0559. Epub 2014 Dec 29.
Abstract
Patients with rickettsial infection may present with encephalitis or meningitis but neurologic involvement is rare in murine typhus. Here, we report two patients with Rickettsia typhi meningitis who presented with cranial neuropathy, presumably caused by two distinct disease processes. Recognition of the disease manifestations is important because rickettsial infections are potentially associated with significant morbidity. Simple effective treatments are available.
摘要
立克次体感染患者可能会出现脑炎或脑膜炎，但鼠型斑疹伤寒的神经系统受累情况较为罕见。在此，我们报告两例鼠型斑疹伤寒脑膜炎患者，他们出现了颅神经病变，推测是由两种不同的疾病过程引起的。认识到这些疾病表现很重要，因为立克次体感染可能会导致严重的发病率。目前有简单有效的治疗方法。
相似文献
1
Abducens nerve palsy and meningitis by Rickettsia typhi.鼠伤寒立克次体所致外展神经麻痹和脑膜炎
Am J Trop Med Hyg. 2015 Mar;92(3):620-4. doi: 10.4269/ajtmh.14-0559. Epub 2014 Dec 29.
2
Murine typhus presenting with status epilepticus.鼠型斑疹伤寒致癫痫持续状态。
Int J Infect Dis. 2019 Jun;83:145-147. doi: 10.1016/j.ijid.2019.04.012. Epub 2019 Apr 16.
3
Facial paralysis and meningitis caused by Rickettsia typhi infection.
Scand J Infect Dis. 2003;35(11-12):886-7. doi: 10.1080/00365540310016853.
4
Rickettsia typhi infection presenting as subacute meningitis.
J Child Neurol. 2002 Feb;17(2):156-7. doi: 10.1177/088307380201700217.
5
Concurrent Infection with murine typhus and scrub typhus in southern Laos--the mixed and the unmixed.老挝南部鼠型斑疹伤寒和恙虫病的合并感染——混合感染与非混合感染
PLoS Negl Trop Dis. 2013 Aug 29;7(8):e2163. doi: 10.1371/journal.pntd.0002163. eCollection 2013.
6
Murine Typhus with Marked Thrombocytopenia in a Child in Northern Greece and Literature Review.希腊北部一名儿童患伴有明显血小板减少症的鼠型斑疹伤寒及文献综述
Jpn J Infect Dis. 2018 Sep 21;71(5):368-369. doi: 10.7883/yoken.JJID.2018.091. Epub 2018 May 31.
7
Murine typhus returns to New South Wales: a case of isolated meningoencephalitis with raised intracranial pressure.鼠型斑疹伤寒重返新南威尔士州：一例孤立性脑膜脑炎伴颅内压升高。
Med J Aust. 2011 Jun 20;194(12):652-4. doi: 10.5694/j.1326-5377.2011.tb03152.x.
8
Photo quiz. Murine typhus (Rickettsia typhi).图片测验。鼠型斑疹伤寒（斑疹伤寒立克次体）。
Clin Infect Dis. 1995 Oct;21(4):859, 991.
9
Fever and Headache in a Fully Vaccinated Adolescent.
J Pediatric Infect Dis Soc. 2019 Jul 1;8(3):279-281. doi: 10.1093/jpids/piy132.
10
Fatal Flea-Borne Typhus in Texas: A Retrospective Case Series, 1985-2015.德克萨斯州的致命蚤传斑疹伤寒：1985 - 2015年回顾性病例系列
Am J Trop Med Hyg. 2017 May;96(5):1088-1093. doi: 10.4269/ajtmh.16-0465.
引用本文的文献
1
Severe murine typhus complicated by multiple organ dysfunctions: A case report.重症鼠型斑疹伤寒合并多器官功能障碍：一例报告
Caspian J Intern Med. 2024 Winter;15(1):188-192. doi: 10.22088/cjim.15.1.23.
2
Murine Typhus: A Review of a Reemerging Flea-Borne Rickettsiosis with Potential for Neurologic Manifestations and Sequalae.鼠型斑疹伤寒：一种再度出现的、由跳蚤传播的立克次体病综述，具有神经症状和后遗症的可能性
Infect Dis Rep. 2023 Oct 26;15(6):700-716. doi: 10.3390/idr15060063.
3
Delayed correlation between the incidence rate of indigenous murine typhus in humans and the seropositive rate of Rickettsia typhi infection in small mammals in Taiwan from 2007-2019.2007-2019 年台湾地区人类地方性鼠型斑疹伤寒发病率与小型哺乳动物中伤寒立克次体感染血清阳性率的延迟相关性。
PLoS Negl Trop Dis. 2022 Apr 25;16(4):e0010394. doi: 10.1371/journal.pntd.0010394. eCollection 2022 Apr.
4
Profile of Neurological Manifestations in Children Presenting with Rickettsial Disease.儿童患立克次体病的神经表现特征。
Indian Pediatr. 2022 Mar 15;59(3):222-225. doi: 10.1007/s13312-022-2473-x. Epub 2022 Jan 9.
5
Abducens nerve palsy with associated retinal involvement secondary to rickettsia typhi infection.鼠伤寒立克次体感染继发外展神经麻痹伴视网膜受累
J Ophthalmic Inflamm Infect. 2021 Mar 22;11(1):9. doi: 10.1186/s12348-021-00239-1.
6
The temporal dynamics of humoral immunity to Rickettsia typhi infection in murine typhus patients.恙虫病患者感染东方体后体液免疫的时间动态变化。
Clin Microbiol Infect. 2020 Jun;26(6):781.e9-781.e16. doi: 10.1016/j.cmi.2019.10.022. Epub 2019 Oct 31.
7
Rickettsial infections of the central nervous system.中枢神经系统立克次体感染。
PLoS Negl Trop Dis. 2019 Aug 29;13(8):e0007469. doi: 10.1371/journal.pntd.0007469. eCollection 2019 Aug.
8
Intra-aural tick bite causing unilateral facial nerve palsy in 29 cases over 16 years in Kandy, Sri Lanka: is rickettsial aetiology possible?16 年来，斯里兰卡康提有 29 例耳内 tick 叮咬导致单侧面神经麻痹：是否可能与立克次体有关？
BMC Infect Dis. 2018 Aug 22;18(1):418. doi: 10.1186/s12879-018-3338-8.
9
Case of -induced Brain Abscess Mimicking Brain Tumor.
Osong Public Health Res Perspect. 2018 Jun;9(3):122-125. doi: 10.24171/j.phrp.2018.9.3.07.
10
Case Report: Fulminant Murine Typhus Presenting with Status Epilepticus and Multi-Organ Failure: an Autopsy Case and a Review of the Neurologic Presentations of Murine Typhus.病例报告：暴发性鼠型斑疹伤寒伴癫痫持续状态和多器官衰竭：尸检病例及鼠型斑疹伤寒的神经表现综述。
Am J Trop Med Hyg. 2018 Aug;99(2):306-309. doi: 10.4269/ajtmh.18-0084. Epub 2018 Jun 21.
本文引用的文献
1
Diagnostic efficacy of adenosine deaminase levels in cerebrospinal fluid in patients of tubercular meningitis: A comparison with PCR for Mycobacterium Tuberculosis.结核性脑膜炎患者脑脊液中腺苷脱氨酶水平的诊断效能：与结核分枝杆菌聚合酶链反应的比较
Ann Neurosci. 2010 Jul;17(3):126-30. doi: 10.5214/ans.0972-7531.1017306.
2
"Boomerang sign" in rickettsial encephalitis.立克次体脑炎中的“回旋镖征”
Neurol India. 2014 May-Jun;62(3):336-8. doi: 10.4103/0028-3886.137030.
3
Rickettsial fever presenting with isolated third nerve palsy.以孤立性动眼神经麻痹为表现的立克次体热。
J Assoc Physicians India. 2013 Feb;61(2):144-5.
4
Assessment of real-time PCR assay for detection of Rickettsia spp. and Rickettsia rickettsii in banked clinical samples.检测储存临床样本中 Rickettsia spp. 和 Rickettsia rickettsii 的实时 PCR 检测方法评估。
J Clin Microbiol. 2013 Jan;51(1):314-7. doi: 10.1128/JCM.01723-12. Epub 2012 Nov 7.
5
Murine typhus returns to New South Wales: a case of isolated meningoencephalitis with raised intracranial pressure.鼠型斑疹伤寒重返新南威尔士州：一例孤立性脑膜脑炎伴颅内压升高。
Med J Aust. 2011 Jun 20;194(12):652-4. doi: 10.5694/j.1326-5377.2011.tb03152.x.
6
Isolated abducens nerve palsy in a patient with scrub typhus.恙虫病患者出现孤立性展神经麻痹。
J AAPOS. 2010 Oct;14(5):460-1. doi: 10.1016/j.jaapos.2010.06.016.
7
Ocular findings in tropical typhus (Tsutsugamushi or Japanese river fever).
Br J Ophthalmol. 1946 Jan;30:11-9.
8
Adenosine deaminase and tuberculous meningitis--a systematic review with meta-analysis.腺苷脱氨酶与结核性脑膜炎——一项系统评价与荟萃分析
Scand J Infect Dis. 2010 Mar;42(3):198-207. doi: 10.3109/00365540903428158.
9
A Comparative Study of the Pathology of Scrub Typhus (Tsutsugamushi Disease) and Other Rickettsial Diseases.恙虫病（丛林斑疹伤寒）与其他立克次体病病理学的比较研究
Am J Pathol. 1945 Jul;21(4):603-81.
10
Mediterranean spotted fever with encephalitis.伴有脑炎的地中海斑疹热
J Med Microbiol. 2009 Apr;58(Pt 4):521-525. doi: 10.1099/jmm.0.004465-0.
Zotero 插件