Mower Kellie-Ann
Newham University Hospital emergency department, Barts Health NHS Trust, London, England.
Emerg Nurse. 2017 Apr 13;25(1):27-31. doi: 10.7748/en.2017.e1651.
Encephalitis is a life-threatening condition in which inflammation of the brain tissue occurs. Although it is relatively rare, misdiagnosis or delays in recognition and treatment can have devastating consequences for patients, and there is a high mortality rate. People who survive are often left with neuropsychological impairment. This article describes the pathophysiology of the condition, as well as clinical presentation and treatment, and explains why it can be easily missed. It includes a case study that describes a situation in which the condition was not considered initially as a differential diagnosis, and considers implications for practice.
脑炎是一种危及生命的疾病，会出现脑组织炎症。尽管相对罕见，但误诊或识别及治疗的延误可能给患者带来毁灭性后果，且死亡率很高。存活下来的人往往会有神经心理损伤。本文描述了该疾病的病理生理学、临床表现及治疗方法，并解释了为何它容易被漏诊。文中包含一个病例研究，描述了该疾病最初未被纳入鉴别诊断的情况，并探讨了对临床实践的启示。
