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首例都柏林沙门氏菌引起的 Bickerstaff 脑干脑炎报告:一例病例报告。

First report of Bickerstaff's brainstem encephalitis caused by Salmonella Dublin: a case report.

机构信息

Department of Neurology, Weifang Traditional Chinese Hospital, Weifang, China.

出版信息

BMC Neurol. 2021 May 15;21(1):199. doi: 10.1186/s12883-021-02230-8.

Abstract

BACKGROUND

Diseases caused by nontyphoid Salmonella can range from mild, to self-limiting gastroenteritis and severe invasive infection. Relatively rarely, Salmonella may cause severe encephalopathy.

CASE PRESENTATION

We report a suspected case of Bickerstaff's brainstem encephalitis caused by Salmonella Dublin. A young man presented with impaired consciousness, ataxia, dysarthria, limb weakness, and restricted eyeball abduction. His clinical symptoms were consistent with Bickerstaff's brainstem encephalitis.

CONCLUSIONS

This is the first case report of Bickerstaff's brainstem encephalitis caused by Salmonella Dublin in the literature. After treatment, he recovered and was discharged. Early antibiotic treatment of sepsis may control the disease and avoid serious encephalopathy.

摘要

背景

非伤寒沙门氏菌引起的疾病范围从轻度、自限性胃肠炎到严重的侵袭性感染。相对少见的是,沙门氏菌可能导致严重的脑病。

病例介绍

我们报告了一例由都柏林沙门氏菌引起的疑似比克法斯特脑干脑炎的病例。一名年轻男性表现为意识障碍、共济失调、构音障碍、肢体无力和眼球外展受限。他的临床症状符合比克法斯特脑干脑炎。

结论

这是文献中首例由都柏林沙门氏菌引起的比克法斯特脑干脑炎的病例报告。经过治疗,他康复并出院。早期对败血症进行抗生素治疗可能控制疾病并避免严重的脑病。

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