伪装成急性脱髓鞘性脑脊髓炎的神经黑色素沉着病。
Neuromelioidosis Masquerading as Acute Demyelinating Encephalomyelitis.
作者信息
Ekka Alok Shimee, Mohideen Mohamed, Kesavan Sajith
机构信息
Pediatric Intensive Care Unit, Kanchi Kamakoti CHILDS Trust Hospital, Chennai. Correspondence to: Dr. Alok Shimee Ekka, Kanchi Kamakoti CHILDS Trust Hospital, 12 A, Nageswara road, Nungamakkam, Chennai 600034, India.
出版信息
Indian Pediatr. 2017 Dec 15;54(12):1054-1055. doi: 10.1007/s13312-017-1212-1.
BACKGROUND
Neuromelioidosis is a rare conduction, which is difficult to diagnose and treat.
CASE CHARACTERISTICS
Preadolescent girl presenting with prolonged fever, acute ascending paralysis and encephalopathy.
OUTCOME
Neuromelioidiosis was confirmed on brain biopsy culture. Patient improved with an intensive antibiotic regimen.
MESSAGE
Neuromelioidosis can mimic acute demyelinating encephalomyelitis clinically and radiologically.
背景
神经梅毒样病是一种罕见的病症，难以诊断和治疗。
病例特征
青春期前女孩，表现为长期发热、急性上行性麻痹和脑病。
结果
脑活检培养确诊为神经梅毒样病。患者通过强化抗生素治疗方案病情好转。
启示
神经梅毒样病在临床和影像学上可类似急性脱髓鞘性脑脊髓炎。
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