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[中枢神经系统急性病毒感染伴脑脊液蛋白增高的病因结构及临床特征]

[Etiologic structure and clinical characteristics of acute viral infections of the central nervous system with hyperproteinorachia].

作者信息

Madle-Samardzija N, Jovanović J, Vukadinov J, Canak G, Preveden T, Brkić S

机构信息

Klinika za infektivne i dermatoveneroloske bolesti, Mediciniski fakultet, Novi Sad.

出版信息

Med Pregl. 1993;46(3-4):92-5.

PMID:7862051
Abstract

Clinical syndrome of acute viral meningitis and meningoencephalitis may be induced by different viruses. Etiologic diagnosis may be set by the isolation of the virus from the liquor and by the detection of specific antibodies in the blood and liquor. Our aim was to determine viral etiology of AVI with special reference to hyperproteinorachia. The study was conducted in 55 patients treated at the Clinic of Infectious Diseases in Novi Sad, with clinical picture of acute meningitis or meningoencephalitis, with pleocytosis above 50 ml in the cerebrospinal fluid. Depending on the levels of proteinorachia the patients were divided into the group with proteinorachia levels below 1g/l (34 patients) and above 1 g/l (21 patients). In the first group the most common was herpes simplex- and adenoviral etiology while in the second group most frequently found were choriolymphocytic meningitis virus (LCM) and herpes simplex virus. The protein level was in correlation with the severity of the clinical features and the duration of the treatment.

摘要

急性病毒性脑膜炎和脑膜脑炎的临床综合征可能由不同病毒引起。病因诊断可通过从脑脊液中分离病毒以及检测血液和脑脊液中的特异性抗体来确定。我们的目的是确定急性病毒性感染(AVI)的病毒病因,特别关注脑脊液蛋白增多症。该研究对诺维萨德传染病诊所收治的55例患者进行,这些患者具有急性脑膜炎或脑膜脑炎的临床表现,脑脊液中细胞增多超过50/ml。根据脑脊液蛋白水平,患者被分为脑脊液蛋白水平低于1g/l的组(34例患者)和高于1g/l的组(21例患者)。在第一组中,最常见的病因是单纯疱疹病毒和腺病毒,而在第二组中,最常发现的是脉络丛淋巴细胞性脑膜炎病毒(LCM)和单纯疱疹病毒。蛋白水平与临床特征的严重程度和治疗持续时间相关。

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