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[精神障碍揭示的结核性脑膜脑炎:一例报告]

[Tuberculous meningoencephalitis revealed by psychiatric disorders: about a case].

作者信息

Mouhadi Khalid, Boulahri Tarik, Rouimi Abdelhadi

机构信息

Faculté de Médecine et de Pharmacie, Marrakech, Maroc.

Service de Neurologie, Hôpital Militaire Moulay Ismail, Meknès, Maroc.

出版信息

Pan Afr Med J. 2017 Jul 20;27:206. doi: 10.11604/pamj.2017.27.206.12811. eCollection 2017.

DOI:10.11604/pamj.2017.27.206.12811
PMID:28904730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5579416/
Abstract

Tuberculous meningoencephalitis is fairly frequent in endemic countries and it is the most severe form of tuberculosis. Therapeutic failure is common because of diagnostic delay. This delay is primarily due to a wide clinical polymorphism and, in particular, to misleading forms. We here report a rare clinical case of tuberculous meningitis in a patient in prodromal phase of psychosis.

摘要

结核性脑膜脑炎在结核病流行国家较为常见,是结核病最严重的形式。由于诊断延迟,治疗失败很常见。这种延迟主要是由于临床症状具有广泛的多样性,尤其是存在一些误导性的表现形式。我们在此报告一例罕见的临床病例,患者为处于精神病前驱期的结核性脑膜炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93de/5579416/1b886a3fcfd5/PAMJ-27-206-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93de/5579416/10e3898f583e/PAMJ-27-206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93de/5579416/1b886a3fcfd5/PAMJ-27-206-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93de/5579416/10e3898f583e/PAMJ-27-206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93de/5579416/1b886a3fcfd5/PAMJ-27-206-g002.jpg

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本文引用的文献

1
[Epidemiology of tuberculosis].[结核病流行病学]
Rev Pneumol Clin. 2015 Apr-Jun;71(2-3):67-72. doi: 10.1016/j.pneumo.2014.04.002. Epub 2014 Aug 15.
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[Extrapulmonary tuberculosis].[肺外结核病]
Rev Mal Respir. 2012 Apr;29(4):566-78. doi: 10.1016/j.rmr.2011.05.021. Epub 2012 Mar 29.
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Central nervous system tuberculosis.中枢神经系统结核
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Effectiveness and safety of the schedules of short and long term treatment for tuberculous meningoencephalitis at two hospitals of Lima--Peru.秘鲁利马两家医院结核性脑膜脑炎短期和长期治疗方案的有效性和安全性。
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A review of tuberculous meningitis at Auckland City Hospital, New Zealand.新西兰奥克兰市医院结核性脑膜炎综述。
J Clin Neurosci. 2010 Aug;17(8):1018-22. doi: 10.1016/j.jocn.2010.01.007. Epub 2010 Jun 3.
6
Tuberculous meningitis: many questions, too few answers.结核性脑膜炎:问题众多,答案寥寥。
Lancet Neurol. 2005 Mar;4(3):160-70. doi: 10.1016/S1474-4422(05)01013-6.
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Predictors of outcome in patients with tuberculous meningitis.结核性脑膜炎患者预后的预测因素。
Int J Tuberc Lung Dis. 2002 Jan;6(1):64-70.