Yong Chen Han, Vallat Wilson, Norton Graham
Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia.
Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
BMJ Case Rep. 2018 Jun 21;2018:bcr-2018-224960. doi: 10.1136/bcr-2018-224960.
We present a case involving an 85-year-old man with acute confusion and new onset seizure following a 1-week history of respiratory prodrome. This case report describes a case of influenza B-related meningoencephalitis supported by evidence of an influenza B infection and temporal relation of the neurological event and respiratory illness in the absence of other identifiable cause. Diagnosis is guided by cerebrospinal fluid profile and nasopharyngeal PCR. Treatment is largely supportive and the effect of vaccination on prevention of this neurological complication remains unclear.
我们报告一例病例，患者为一名85岁男性，在出现1周呼吸道前驱症状后出现急性意识模糊和新发癫痫。本病例报告描述了一例乙型流感相关性脑膜脑炎，有乙型流感感染的证据以及在无其他可识别病因的情况下神经系统事件与呼吸道疾病的时间关系作为支持。诊断依据脑脊液检查结果和鼻咽部聚合酶链反应。治疗主要是支持性的，疫苗接种对预防这种神经系统并发症的效果仍不明确。
