一例成人急性EB病毒相关性小脑炎病例。
An Adult Case of Acute EBV Cerebellitis.
作者信息
Muscat Katya, Galea Ruth, Vella Malcolm
机构信息
Department of Medicine, Mater Dei Hospital, Msida, Malta.
Department of Neuroscience, Mater Dei Hospital, Msida, Malta.
出版信息
Eur J Case Rep Intern Med. 2017 Jan 27;4(1):000519. doi: 10.12890/2016_000519. eCollection 2017.
UNLABELLED
Acute neurological manifestations of infectious mononucleosis are uncommon and have been predominantly reported in the paediatric population. We report a case of acute Epstein-Barr virus cerebellitis in an adult in whom spontaneous resolution of symptoms and signs occurred after 2 weeks of supportive treatment. An infective cause for an acute cerebellar syndrome in an adult must always be considered in the differential diagnosis when appropriate.
LEARNING POINTS
A high index of suspicion is needed in adults who present with a febrile syndrome and cerebellar signs.An acute cerebellar syndrome may be the only manifestation of Epstein-Barr virus infection.In certain cases, conservative management may be sufficient depending on the clinical severity.
未加标注
传染性单核细胞增多症的急性神经表现并不常见，主要见于儿科人群。我们报告一例成人急性爱泼斯坦-巴尔病毒小脑炎病例，经2周支持治疗后症状和体征自行缓解。成人急性小脑综合征的感染性病因在鉴别诊断时必须始终予以适当考虑。
学习要点
对于出现发热综合征和小脑体征的成人，需要高度怀疑。急性小脑综合征可能是爱泼斯坦-巴尔病毒感染的唯一表现。在某些情况下，根据临床严重程度，保守治疗可能就足够了。
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