Hwee Tang Phua, Koh Cheng Thoon
Department of Diagnostic and Interventional Imaging, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899.
Department of Paediatrics, Infectious Disease, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899.
Neuroimaging Clin N Am. 2023 Feb;33(1):207-224. doi: 10.1016/j.nic.2022.07.017.
This article highlights the changing profile of the pediatric patient with central nervous system infection as countries develop and the roles of different imaging modalities such as cranial ultrasound, MR imaging, and computed tomography. It discusses the commonly encountered congenital toxoplasmosis, rubella, cytomegalovirus, herpes simplex (TORCH) infections, Group B Streptococcal and Escherichia coli infections in the neonatal period, and disease outbreaks affecting children. Iatrogenic, opportunistic, and immune-mediated changes as well as long-term effects of infection and mimics of infection are also discussed. Variety of images is provided to show the range of neuroimaging findings encountered, particularly on cranial ultrasound and MR imaging.
本文强调了随着各国发展，患有中枢神经系统感染的儿科患者情况的变化，以及不同成像方式（如头颅超声、磁共振成像和计算机断层扫描）的作用。它讨论了新生儿期常见的先天性弓形虫、风疹、巨细胞病毒、单纯疱疹（TORCH）感染、B族链球菌和大肠杆菌感染，以及影响儿童的疾病暴发。还讨论了医源性、机会性和免疫介导的变化，以及感染的长期影响和感染的模仿情况。提供了各种图像以展示所遇到的神经影像学表现范围，特别是头颅超声和磁共振成像的表现。
