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肺炎支原体引起的脑干脑炎和水疱性皮疹

[Brainstem encephalitis and vesicular exanthema caused by Mycoplasma pneumoniae].

作者信息

Gerber A C, Lütschg J, Schaad U B

出版信息

Schweiz Med Wochenschr. 1984 Aug 7;114(31-32):1100-2.

PMID:6494860
Abstract

Serologically proven Mycoplasma pneumonitis followed by vesicular mucocutaneous eruptions and aseptic brainstem encephalitis was observed in a 4-year-old boy. Both neurological and dermatological symptoms occurred approximately 2 weeks after the onset of pneumonia. The patient was treated with tetracyclines, corticosteroids and general supportive care and recovered completely over several months. An etiological relationship between mycoplasmal infection and neurological and dermatological symptoms, as already described in the literature, is postulated. A viral etiology was excluded by appropriate serological and cultural investigations.

摘要

一名4岁男孩出现血清学确诊的肺炎支原体肺炎,随后出现水疱性皮肤黏膜疹和无菌性脑干脑炎。神经和皮肤症状均在肺炎发病后约2周出现。患者接受四环素、皮质类固醇治疗及一般支持治疗,数月后完全康复。推测支原体感染与神经和皮肤症状之间存在病因学关联,正如文献中已描述的那样。通过适当的血清学和培养检查排除了病毒病因。

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