Piquet Amanda L, Lyons Jennifer L
Division of Neuroimmunology, Department of Neurology, University of Utah Hospital, Salt Lake City, Utah.
Division of Neurological Infections and Inflammatory Diseases, Department of Neurology, Brigham and Women's Hospital, Boston, Massachusetts.
Semin Neurol. 2016 Aug;36(4):367-72. doi: 10.1055/s-0036-1585099. Epub 2016 Sep 19.
The clinician who is evaluating a patient with a suspected central nervous system infection often faces a large differential diagnosis. There are several signs, symptoms, geographical clues, and diagnostic testing, such as cerebrospinal fluid abnormalities and magnetic resonance imaging abnormalities, which can be helpful in identifying the etiological agent. By taking a systematic approach, one can often identify life-threatening, common, and/or treatable etiologies. Here the authors describe some of the pearls and pitfalls in diagnosing and treating acute infectious meningitis and encephalitis.
评估疑似中枢神经系统感染患者的临床医生常常面临众多鉴别诊断。有若干体征、症状、地域线索以及诊断检测方法，比如脑脊液异常和磁共振成像异常，这些有助于确定病原体。通过采用系统的方法，往往能够识别出危及生命的、常见的和/或可治疗的病因。在此，作者描述了诊断和治疗急性感染性脑膜炎和脑炎的一些要点与陷阱。
