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EB 病毒感染伴非肿瘤相关抗 N-甲基-D-天冬氨酸受体脑炎:病例报告及文献复习。

Epstein-Barr virus infection with non-tumor-associated Anti-N-Methyl-D-Aspartate receptor encephalitis: a case report and review of literature.

机构信息

Hulunbuir Clinical Medical College, Inner Mongolia MinZu University, Hulunbuir, Inner Mongolia, China.

Department of Neurology, Hulunbuir People's Hospital, Hulunbuir, Inner Mongolia, China.

出版信息

Neurocase. 2023 Feb-Apr;29(1):1-5. doi: 10.1080/13554794.2023.2280276. Epub 2023 Dec 16.

DOI:10.1080/13554794.2023.2280276
PMID:37963293
Abstract

To study a case of a middle-aged male with a non-tumor-associated Epstein-Barr virus (EBV) infection associated with Anti-N-methyl-D-aspartate receptor encephalitis (NMDARE), to explore the role of EBV in the pathogenesis of anti-NMDARE. The patient was diagnosed with "Anti-NMDARE, EBV infection" by using Cerebrospinal fluid (CSF) autoimmune encephalitis profile, and Metagenomics Next-Generation Sequencing (mNGS) pathogenic microbial assays, we discuss the relationship between EBV and NMDARE by reviewed literature. EBV infection may trigger and enhance anti-NMDARE, and the higher the titer of NMDAR antibody, the more severe the clinical presentation.

摘要

研究一例与非肿瘤相关的 EBV(Epstein-Barr virus)感染相关的抗 N-甲基-D-天冬氨酸受体脑炎(NMDARE)的中年男性病例,以探讨 EBV 在抗 NMDARE 发病机制中的作用。该患者通过使用脑脊液(CSF)自身免疫性脑炎谱和宏基因组下一代测序(mNGS)致病微生物检测,被诊断为“抗 NMDARE,EBV 感染”,我们通过文献复习讨论了 EBV 与 NMDARE 之间的关系。EBV 感染可能引发和增强抗 NMDARE,且 NMDAR 抗体滴度越高,临床症状越严重。

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