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印度COVID-19感染后克雅氏病异常延迟发病:一例报告

Unusually Late Onset of Creutzfeldt-Jakob Disease Following COVID-19 Infection in India: A Case Report.

作者信息

Begum Afreen, Boppana Madhava S, Rajavasireddy Neha Sivani, Tummala Nikhila, Solís Mayorga María Belén

机构信息

Medicine, Employee State Insurance Corporation (ESIC) Medical College and Hospital, Hyderabad, IND.

Medicine, Guntur Medical College, Guntur, IND.

出版信息

Cureus. 2024 Jul 2;16(7):e63702. doi: 10.7759/cureus.63702. eCollection 2024 Jul.

Abstract

Numerous studies have demonstrated the rise in neurological and psychiatric issues linked to post-COVID-19 infections. The most prevalent symptoms include encephalopathy, seizures, depression, anxiety, and ischemic or hemorrhagic stroke. The occurrence of Creutzfeldt-Jakob disease (CJD) after COVID-19 was unusual, but recent studies have shown a connection between COVID-19 and prion disease. Most cases of CJD present within weeks or a few months after the onset of COVID-19. The late onset of Creutzfeldt-Jakob disease following the COVID-19 infection raises questions about the potential pathophysiological mechanisms underlying this association. Although the exact link remains elusive, this case adds to the growing body of evidence suggesting a possible relationship between COVID-19 and neurodegenerative diseases. Further research is warranted to elucidate the underlying mechanisms and optimize management strategies for post-COVID-19 neurological complications. We present to you an 83-year-old man with a history of COVID-19 infection who presents with memory impairment, mood instability, and declining cognitive function. Despite initial improvement, his condition rapidly deteriorated, ultimately leading to a diagnosis of probable Creutzfeldt-Jakob disease.

摘要

众多研究已证实,与新冠病毒感染后相关的神经和精神问题有所增加。最常见的症状包括脑病、癫痫发作、抑郁、焦虑以及缺血性或出血性中风。新冠病毒感染后出现克雅氏病(CJD)的情况并不常见,但近期研究表明新冠病毒与朊病毒病之间存在关联。大多数克雅氏病病例在新冠病毒感染发病后的数周或数月内出现。新冠病毒感染后克雅氏病的迟发性发病引发了关于这种关联潜在病理生理机制的疑问。尽管确切联系仍不明确,但该病例增加了越来越多的证据,表明新冠病毒与神经退行性疾病之间可能存在关联。有必要进行进一步研究以阐明潜在机制,并优化针对新冠病毒感染后神经并发症的管理策略。我们向您介绍一位83岁男性,他有新冠病毒感染史,出现记忆障碍、情绪不稳定和认知功能下降。尽管最初有所改善,但他的病情迅速恶化,最终被诊断为可能的克雅氏病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9f8/11293889/932188ae1966/cureus-0016-00000063702-i01.jpg

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