甲型流感感染相关局灶性脑炎、脑膜炎和急性呼吸窘迫综合征。
Focal Encephalitis, Meningitis, and Acute Respiratory Distress Syndrome Associated with Influenza A Infection.
机构信息
Department of Emergency Medicine, E-Da Cancer Hospital, I-Shou University, Kaohsiung, Taiwan.
Department of Information Engineering, I-Shou University, Kaohsiung, Taiwan.
出版信息
Med Princ Pract. 2018;27(2):193-196. doi: 10.1159/000487398. Epub 2018 Feb 5.
Abstract
OBJECTIVE
To present a case of influenza A infection complicated with focal encephalitis, meningitis, and acute respiratory distress syndrome.
CLINICAL PRESENTATION AND INTERVENTION
A 35-year-old woman presented with fever, headache, cough, and body aches. Seizures, altered consciousness, and dyspnea occurred later. A nasopharyngeal swab revealed a positive reaction for the influenza A antigen. Magnetic resonance imaging scans showed a T2 prolongation in the left frontoparietal subcortical white matter, which was consistent with focal encephalitis. She recovered after treatment with oseltamivir and antibiotics.
CONCLUSION
This case report highlights focal encephalitis with concomitant pulmonary complications after influenza A infection.
摘要
目的
报告一例甲型流感感染并发局灶性脑炎、脑膜炎和急性呼吸窘迫综合征的病例。
临床表现和干预措施
一名 35 岁女性出现发热、头痛、咳嗽和全身酸痛。后来出现了癫痫发作、意识改变和呼吸困难。鼻拭子检测显示甲型流感抗原呈阳性反应。磁共振成像扫描显示左额顶叶皮质下白质 T2 延长，符合局灶性脑炎的表现。经奥司他韦和抗生素治疗后康复。
结论
本病例报告强调了甲型流感感染后并发局灶性脑炎和肺部并发症。
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