Dhillon Paul, McCarthy Sinead, Gibbs Michael
Academic Family Medicine, University of Saskatchewan, Regina, Saskatchewan, Canada.
Aspen Medical International, Monrovia, Liberia.
BMJ Case Rep. 2015 Oct 29;2015:bcr2015211062. doi: 10.1136/bcr-2015-211062.
A middle aged woman presented to an Ebola Treatment Centre in West Africa with a 4-day history of fever, fatigue, joint pain and vomiting. She tested positive for Ebola virus disease (EVD) and a standard treatment platform of care was started. On day 3 of her admission, she was found to have suffered a left-sided CVA of unknown aetiology. Treatment was largely supportive within a resource-constrained environment and the added layer of providing care with extensive personal protective equipment, and human resource and safety constraints. The patient was able to clear the EVD and did regain some functional use of her arm and leg. She was discharged on day 15 of her stay, as a survivor of both stroke and Ebola.
一名中年女性前往西非的一家埃博拉治疗中心就诊，有4天的发热、疲劳、关节疼痛和呕吐病史。她的埃博拉病毒病（EVD）检测呈阳性，于是启动了标准的护理治疗方案。入院第3天，她被发现患有病因不明的左侧脑血管意外（CVA）。在资源有限的环境下，治疗主要是支持性的，同时还要在配备大量个人防护装备的情况下提供护理，并且面临人力资源和安全方面的限制。该患者能够清除埃博拉病毒病，其手臂和腿部的功能也确实有所恢复。她在住院第15天出院，成为中风和埃博拉的幸存者。
