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误诊为:无脑炎的西尼罗河脊髓炎

Falling for a Diagnosis: West Nile Myelitis without Encephalitis.

作者信息

Chan Vincent, Minalyan Artem, Ottman Patrick, Raza Ahmad, Tewary Anubha

机构信息

Internal Medicine, Abington Hospital-Jefferson Health, Abington, USA.

出版信息

Cureus. 2019 Oct 4;11(10):e5838. doi: 10.7759/cureus.5838.

DOI:10.7759/cureus.5838
PMID:31754573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6827708/
Abstract

Poliovirus has been eradicated in the US for 40 years. Its sequelae, poliomyelitis, a syndrome characterized by fever, meningitis, and flaccid paralysis, is a rare entity. Other viruses have been implicated in poliomyelitis-like syndromes since the elimination of poliovirus. West Nile virus (WNV), since its westward migration in 1999, has recently been found to be a causative agent of fever, encephalitis, and acute flaccid paralysis. We present the case of a male who presented to the hospital for fever and experienced a subsequent fall, without any symptoms of encephalitis, diagnosed with WNV infection.

摘要

脊髓灰质炎病毒在美国已被根除40年。其后遗症脊髓灰质炎,是一种以发热、脑膜炎和弛缓性麻痹为特征的综合征,是一种罕见的病症。自脊髓灰质炎病毒被消灭以来,其他病毒也被认为与脊髓灰质炎样综合征有关。西尼罗河病毒(WNV)自1999年向西迁移以来,最近被发现是发热、脑炎和急性弛缓性麻痹的病原体。我们报告一例男性病例,该患者因发热入院,随后摔倒,无任何脑炎症状,被诊断为西尼罗河病毒感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79cf/6827708/9c364dae0b54/cureus-0011-00000005838-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79cf/6827708/9c364dae0b54/cureus-0011-00000005838-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79cf/6827708/9c364dae0b54/cureus-0011-00000005838-i01.jpg

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本文引用的文献

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Am J Med. 2018 Jan;131(1):25-32. doi: 10.1016/j.amjmed.2017.08.020. Epub 2017 Sep 7.
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Neuromuscular manifestations of west nile virus infection.西尼罗河病毒感染的神经肌肉表现
Front Neurol. 2012 Mar 21;3:37. doi: 10.3389/fneur.2012.00037. eCollection 2012.
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Prognosis of West Nile virus associated acute flaccid paralysis: a case series.西尼罗河病毒相关急性弛缓性麻痹的预后:病例系列
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