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一例与詹姆斯敦峡谷病毒血清学反应升高相关的人类脑炎病例。

A case of encephalitis in a human associated with a serologic rise to Jamestown Canyon virus.

作者信息

Grimstad P R, Shabino C L, Calisher C H, Waldman R J

出版信息

Am J Trop Med Hyg. 1982 Nov;31(6):1238-44. doi: 10.4269/ajtmh.1982.31.1238.

Abstract

An 8-year-old girl living in rural southwestern Michigan experienced sudden onset of symptoms beginning with headache, dizziness and fever which rapidly progressed to central nervous system involvement with seizures and coma. Following 27 days of hospitalization her recovery was uneventful, with no apparent sequelae 15 months after discharge. Serologic studies of paired sera showed a rise in antibody to Jamestown Canyon virus, a member of the California serogroup (family Bunyaviridae). Specific IgM anti-Jamestown Canyon virus antibody was detected in sera drawn 9 days after onset. A concomitant rise in complement fixation antibody to herpesvirus was also noted. We believe this is the first reported case of encephalitis associated with Jamestown Canyon virus infection. Reasons are presented for the current inability to routinely detect infection and clinical illness caused by this virus.

摘要

一名居住在密歇根州西南部农村地区的8岁女孩突然出现症状,起初是头痛、头晕和发烧,随后迅速发展为中枢神经系统受累,出现癫痫发作和昏迷。住院27天后,她顺利康复,出院15个月后没有明显的后遗症。双份血清的血清学研究显示,针对加利福尼亚血清群(布尼亚病毒科)成员詹姆斯敦峡谷病毒的抗体有所上升。在发病9天后采集的血清中检测到特异性抗詹姆斯敦峡谷病毒IgM抗体。还注意到针对疱疹病毒的补体结合抗体也同时上升。我们认为这是首例报告的与詹姆斯敦峡谷病毒感染相关的脑炎病例。文中阐述了目前无法常规检测该病毒引起的感染和临床疾病的原因。

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