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在 COVID-19 大流行期间诊断单纯疱疹病毒 1 型脑炎。

Diagnosing herpes simplex-1 encephalitis at the time of COVID-19 pandemic.

机构信息

Neurology Unit, Luigi Sacco University Hospital, Via Giovanni Battista Grassi 74, 20157, Milan, Italy.

"Luigi Sacco" Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.

出版信息

Neurol Sci. 2020 Jun;41(6):1361-1364. doi: 10.1007/s10072-020-04461-y. Epub 2020 May 13.

Abstract

CASE REPORT

We describe the case of a 73-year-old woman who was diagnosed with herpes simplex virus-1 encephalitis during the COVID-19 pandemic. The diagnosis was somehow delayed because relatives were initially cautious in bringing the patient to the hospital and, here, the work-up focus was on coronavirusrelated aspects as the patient was initially reputed to be infected with COVID-19.

CONCLUSIONS

During the current viral outbreak, physicians should not neglect the possibility of other diseases that represent neurological emergencies and require immediate recognition and treatment.

摘要

病例报告

我们描述了一例 73 岁女性的病例,该患者在 COVID-19 大流行期间被诊断为单纯疱疹病毒 1 型脑炎。由于最初亲属在将患者送往医院时较为谨慎,且由于患者最初被认为感染了 COVID-19,故该诊断有些延迟。检查重点放在与冠状病毒相关的方面。结论:在当前的病毒爆发期间,医生不应忽视其他可能代表需要立即识别和治疗的神经急症的疾病的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db46/7220643/c81e16957f97/10072_2020_4461_Fig1_HTML.jpg

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