Kaplan A M, Longhurst W L, Randall D L
West J Med. 1978 Apr;128(4):279-81.
St. Louis encephalitis is not an uncommon cause of seasonal meningoencephalitis in children. The clinical presentation is variable and may range from inapparent infection to a severe illness with diverse neurologic signs. A review of three recent cases of St. Louis encephalitis in children in Phoenix, Arizona, stresses the need to consider this type of encephalitis in patients with signs of brain stem dysfunction or acute cerebellar ataxia. The appearance of these clinical signs is supported by the pathologic changes that have been documented to occur, most frequently in the thalamus and brain stem. The importance of serologic identification to facilitate early vector control is emphasized.
圣路易斯脑炎是儿童季节性脑膜脑炎的常见病因之一。其临床表现多样，可从隐性感染到出现各种神经体征的严重疾病。对亚利桑那州菲尼克斯市最近三例儿童圣路易斯脑炎病例的回顾强调，对于有脑干功能障碍或急性小脑共济失调体征的患者，需要考虑这种类型的脑炎。这些临床体征的出现得到了已记录的病理变化的支持，这些病理变化最常发生在丘脑和脑干。文中强调了血清学鉴定对于促进早期病媒控制的重要性。
