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立克次体性小脑炎:一种罕见的神经表现。

Rickettsial Cerebellitis: A Rare Neurological Manifestation.

作者信息

Damalapati Sai Sri Venkata Yeshwanth, Deshpande Raghavendra, Moola Narayana S, Jadav Rakesh H, Havannavar Sunil

机构信息

Neurology, Manipal Hospital, Bengaluru, IND.

Critical Care Medicine, Manipal Hospital, Bengaluru, IND.

出版信息

Cureus. 2023 Aug 3;15(8):e42901. doi: 10.7759/cureus.42901. eCollection 2023 Aug.

Abstract

Scrub typhus is a vector-borne disease caused by gram-negative bacilli, . The vector of scrub typhus is the mite. The clinical manifestations often present with either a simple fever or life-threatening multi-organ dysfunction. Neurological manifestations also vary, and the incidence of neurological manifestations is unknown. Cerebellitis is one of the rare neurological manifestations associated with scrub typhus. In this case report, we present the case of a 35-year-old man who tested positive for scrub typhus (IgM enzyme-linked immunosorbent assay (ELISA) blood test) with a history of fever and cerebellar signs and symptoms. He was managed with antibacterial agents and made a good recovery.

摘要

恙虫病是一种由革兰氏阴性杆菌引起的媒介传播疾病。恙虫病的传播媒介是螨。其临床表现通常为单纯发热或危及生命的多器官功能障碍。神经学表现也各不相同,且神经学表现的发生率尚不清楚。小脑炎是与恙虫病相关的罕见神经学表现之一。在本病例报告中,我们介绍了一名35岁男性的病例,他有发热病史及小脑体征和症状,恙虫病检测呈阳性(IgM酶联免疫吸附测定(ELISA)血液检测)。他接受了抗菌药物治疗并恢复良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c71/10474878/674d8e099a9b/cureus-0015-00000042901-i01.jpg

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