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热带国家的脑炎和脊髓炎:世界危重病医学会热带病工作组的报告。

Encephalitis and myelitis in tropical countries: Report from the Task Force on Tropical Diseases by the World Federation of Societies of Intensive and Critical Care Medicine.

机构信息

Departament of Neurology and Neurosurgery, Universidade Federal de São Paulo and Programa Integrado de Neurologia and Instituto de Ensino e Pesquisa, Hospital Israelita Albert Einstein, São Paulo, Brazil.

Division of Critical Care, Charlotte Maxeke Hospital and Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.

出版信息

J Crit Care. 2017 Dec;42:355-359. doi: 10.1016/j.jcrc.2017.11.001. Epub 2017 Nov 3.

Abstract

Tropical diseases are those that occur primarily or solely in the tropics, and as such include infectious diseases that are particularly prevalent in hot, humid conditions. The incidence of encephalitis in tropical countries is reported to be as high as 6.34/100,000/year. The term encephalitis implies inflammation of the brain and includes the presence of encephalopathy with two and more of the following features: fever, seizures and/or focal neurological findings; a cerebrospinal fluid pleocytosis; electroencephalographic findings or abnormal neuroimaging suggestive of encephalitis. Transverse myelitis (TM) is an inflammation of the spinal cord which has a wide variety of clinical presentations depending on the degree (severity of myelin and neuronal injury) and site of spinal cord involvement. In the present article we discuss the various forms of tropical, viral encephalitides and myelitis and the diagnosis and management.

摘要

热带病主要或仅在热带地区发生,因此包括在炎热、潮湿条件下特别流行的传染病。据报道,热带国家的脑炎发病率高达 6.34/100000/年。脑炎一词表示大脑炎症,包括存在脑病和以下两个或更多特征:发热、癫痫发作和/或局灶性神经学发现;脑脊液白细胞增多;脑电图发现或异常神经影像学提示脑炎。横贯性脊髓炎(TM)是脊髓炎症,根据脊髓受累的程度(髓鞘和神经元损伤的严重程度)和部位,临床表现多种多样。在本文中,我们讨论了各种热带病毒性脑炎和脊髓炎的形式以及诊断和治疗。

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