军团病伴脑干和小脑功能障碍
Brain stem and cerebellar dysfunction with Legionnaires' disease.
作者信息
Baker P C, Price T R, Allen C D
出版信息
J Neurol Neurosurg Psychiatry. 1981 Nov;44(11):1054-6. doi: 10.1136/jnnp.44.11.1054.
Abstract
A 37-year-old man under treatment for manic-depressive illness developed pneumonia identified as Legionnaires' disease accompanied by a severe neurological disorder with profound dysarthria, ataxia, gaze paralysis, and downbeat nystagmus. At review six months later, he has made only a partial recovery with persisting limb and gait ataxia. Difficulties in diagnosing neurological complications of Legionnaires' disease in a patient with a psychiatric disorder requiring psychotropic medication are discussed.
摘要
一名37岁正在接受躁郁症治疗的男性患上了确诊为军团病的肺炎，同时伴有严重的神经功能障碍，表现为严重的构音障碍、共济失调、凝视麻痹和下跳性眼球震颤。在6个月后的复查中，他仅部分恢复，仍存在肢体和步态共济失调。本文讨论了在一名需要使用精神药物治疗精神障碍的患者中诊断军团病神经并发症的困难。
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本文引用的文献
1
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Arch Neurol. 1980 Jun;37(6):379-80. doi: 10.1001/archneur.1980.00500550081014.
2
Legionnaires' disease: a review of the epidemiology and clinical manifestations of a newly recognized infection.
Mayo Clin Proc. 1980 Mar;55(3):129-37.
3
Lithium carbonate, haloperidol, and irreversible brain damage.
JAMA. 1974 Dec 2;230(9):1283-7.
4
Adverse reactions in treatment with lithium carbonate and haloperidol.
JAMA. 1976 Dec 6;236(23):2645-6.
5
Legionnaires' disease. Clinical findings and one-year follow-up.
JAMA. 1978 Sep 8;240(11):1169-71. doi: 10.1001/jama.240.11.1169.
6
Legionnaires' disease in non-Legionnaires. A report of five cases.非退伍军人中的军团病。五例报告。
Ann Intern Med. 1978 Mar;88(3):294-302. doi: 10.7326/0003-4819-88-3-294.
7
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Ann Intern Med. 1979 Apr;90(4):624-7. doi: 10.7326/0003-4819-90-4-624.
8
Sporadic cases of Legionnaires' disease: the expanding clinical spectrum.
Ann Intern Med. 1979 Apr;90(4):518-21. doi: 10.7326/0003-4819-90-4-518.
9
Severe cerebral disturbance in legionnaires' disease.
Lancet. 1978;2(8104-5):1336-7. doi: 10.1016/s0140-6736(78)91974-8.
10
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