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脑炎:地中海斑疹热的一种罕见并发症。

Encephalitis: A rare complication of mediterranean spotted fever.

作者信息

Mendes Jorge Bastos, Gomes João Filipe, Gonçalves Tatiana, Canhão Bernardo, Madaleno João

机构信息

Internal Medicine in Centro Hospitalar e Universitário de Coimbra, Portugal.

出版信息

IDCases. 2021 Apr 27;24:e01136. doi: 10.1016/j.idcr.2021.e01136. eCollection 2021.

DOI:10.1016/j.idcr.2021.e01136
PMID:34026533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8122166/
Abstract

Mediterranean spotted fever (MSF) is an emerging zoonosis caused by . The MSF typically presents with a triad of fever, generalized cutaneous rash and inoculation eschar, but its clinical spectrum may range from a mild febrile illness to a potentially life-threatening condition, being central nervous system involvement highly rare. We report the clinical case of a 63-year-old male patient with MSF complicated by acute encephalitis and multi-organic failure.

摘要

地中海斑疹热(MSF)是一种由……引起的新发人畜共患病。地中海斑疹热通常表现为发热、全身性皮疹和接种性焦痂三联征,但其临床谱可能从轻度发热性疾病到潜在的危及生命的状况不等,中枢神经系统受累极为罕见。我们报告了一例63岁男性地中海斑疹热患者的临床病例,该患者并发急性脑炎和多器官功能衰竭。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd55/8122166/5f2b5f987a5a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd55/8122166/3d21eb4e0232/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd55/8122166/5f2b5f987a5a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd55/8122166/3d21eb4e0232/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd55/8122166/5f2b5f987a5a/gr2.jpg

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本文引用的文献

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2
A Rare Case of Mediterranean Spotted Fever and Encephalitis.一例罕见的地中海斑疹热合并脑炎病例。
Case Rep Infect Dis. 2016;2016:2421540. doi: 10.1155/2016/2421540. Epub 2016 Dec 7.
3
Diagnosis and management of acute encephalitis: A practical approach.急性脑炎的诊断与管理:实用方法
Neurol Clin Pract. 2014 Jun;4(3):206-215. doi: 10.1212/CPJ.0000000000000036.
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Mediterranean spotted fever and encephalitis: a case report and review of the literature.地中海斑疹热和脑炎:病例报告及文献复习。
J Infect Chemother. 2012 Feb;18(1):105-8. doi: 10.1007/s10156-011-0295-1. Epub 2011 Aug 31.
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Mediterranean spotted fever with encephalitis.伴有脑炎的地中海斑疹热
J Med Microbiol. 2009 Apr;58(Pt 4):521-525. doi: 10.1099/jmm.0.004465-0.