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登革热诱发的妊娠患者低钾性麻痹:一种常见疾病的罕见表现

Dengue Fever-Induced Hypokalemic Paralysis in a Pregnant Patient: An Uncommon Presentation of a Common Disease.

作者信息

Khan Abu Baker, Ali Muhammad Asfandiyar, Ur Rehman Saeed, Siddiqe Umar, Ahmad Saad

机构信息

Internal Medicine, Ayub Teaching Hospital, Abbottabad, PAK.

Internal Medicine, Khyber Teaching Hospital, Peshawar, PAK.

出版信息

Cureus. 2023 Jun 9;15(6):e40174. doi: 10.7759/cureus.40174. eCollection 2023 Jun.

DOI:10.7759/cureus.40174
PMID:37431355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10329811/
Abstract

Dengue fever is a globally prevalent, viral disease transmitted by mosquitoes, which is becoming increasingly common and can cause a range of symptoms, including fever, flu-like symptoms, and circulatory failure. Although it is classified as a non-neurotropic virus, research has suggested that dengue fever can also affect the nervous system and lead to conditions such as myositis, Guillain-Barré syndrome, or hypokalemic paralysis. We describe a case study of a young pregnant female with dengue-associated hypokalemic paralysis, who made a full recovery within 48 hours of receiving potassium supplementation. The case underscores the importance of recognizing and treating neurological complications of dengue fever promptly, particularly in areas where the disease is prevalent.

摘要

登革热是一种由蚊子传播的全球流行病毒性疾病,它正变得越来越常见,并可导致一系列症状,包括发热、流感样症状和循环衰竭。尽管它被归类为非嗜神经性病毒,但研究表明登革热也可影响神经系统,并导致诸如肌炎、格林-巴利综合征或低钾性麻痹等病症。我们描述了一例患有登革热相关低钾性麻痹的年轻孕妇的病例研究,该患者在补充钾后的48小时内完全康复。该病例强调了及时识别和治疗登革热神经并发症的重要性,尤其是在该疾病流行的地区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a4/10329811/ac6a08de1332/cureus-0015-00000040174-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a4/10329811/a08182dcd90a/cureus-0015-00000040174-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a4/10329811/ac6a08de1332/cureus-0015-00000040174-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a4/10329811/a08182dcd90a/cureus-0015-00000040174-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a4/10329811/ac6a08de1332/cureus-0015-00000040174-i02.jpg

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本文引用的文献

1
Nervous System Manifestations of Arboviral Infections.虫媒病毒感染的神经系统表现
Curr Trop Med Rep. 2022;9(4):107-118. doi: 10.1007/s40475-022-00262-9. Epub 2022 Sep 15.
2
Neurological Manifestations of Dengue Fever.登革热的神经学表现
Ann Indian Acad Neurol. 2021 Sep-Oct;24(5):693-702. doi: 10.4103/aian.AIAN_157_21. Epub 2021 May 28.
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Dengue virus: A global human threat: Review of literature.登革热病毒:全球对人类的威胁:文献综述
J Int Soc Prev Community Dent. 2016 Jan-Feb;6(1):1-6. doi: 10.4103/2231-0762.175416.
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J Neurovirol. 2014 Feb;20(1):103-4. doi: 10.1007/s13365-014-0232-z. Epub 2014 Jan 24.
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Etiological spectrum of hypokalemic paralysis: A retrospective analysis of 29 patients.低钾性麻痹的病因谱:29例患者的回顾性分析
Ann Indian Acad Neurol. 2013 Jul;16(3):365-70. doi: 10.4103/0972-2327.116934.
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Hypokalaemic quadriparesis: an unusual manifestation of dengue fever.低钾性四肢瘫:登革热的一种不寻常表现。
BMJ Case Rep. 2011 Jun 17;2011:bcr1220103673. doi: 10.1136/bcr.12.2010.3673.
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Hypokalemic quadriparesis: An unusual manifestation of dengue fever.低钾性四肢瘫:登革热的一种不寻常表现。
J Nat Sci Biol Med. 2012 Jan;3(1):81-3. doi: 10.4103/0976-9668.95976.
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Acute hypokalaemic quadriparesis in dengue fever.登革热中的急性低钾性四肢瘫
BMJ Case Rep. 2011 Jul 27;2011:bcr1120103514. doi: 10.1136/bcr.11.2010.3514.
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Neurological complications of dengue fever: Experience from a tertiary center of north India.登革热的神经系统并发症:来自印度北部一家三级中心的经验。
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Dengue infection causing acute hypokalemic quadriparesis.登革热感染导致急性低血钾性四肢瘫痪。
Neurol India. 2010 Jul-Aug;58(4):592-4. doi: 10.4103/0028-3886.68657.