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[老年患者带状疱疹性脑炎的临床微生物学诊断:附1例报告]

[The clinico-microbiological diagnosis of encephalitis due to herpes zoster in an elderly patient: apropos a case].

作者信息

Muñoz García M D, Guerrero Díaz M T, Díaz Guzmán J, Torres González M

机构信息

Servicio de Geriatría, Hospital Universitario de Getafe, Madrid.

出版信息

An Med Interna. 1996 May;13(5):243-4.

PMID:8767873
Abstract

Varicella-zoster infection consists of well-recognized cutaneous manifestations. However, in several cases it is complicated with central nervous system disorders. We present a 79-year-old diabetic woman with zoster ophthalmicus, who developed an acute confusional syndrome. EEG, cranial computed tomographic, biochemical and haematologic and liquoral studies were performed. An increased in the CSF-IgG index was founded, and it was related with Varicella-Zoster Herpes antibodies. She was treated with intravenous acyclovir, and her encephalopathy was resolved.

摘要

水痘-带状疱疹感染具有公认的皮肤表现。然而,在一些病例中,它会并发中枢神经系统疾病。我们报告一位79岁患有眼带状疱疹的糖尿病女性,她出现了急性意识模糊综合征。进行了脑电图、头颅计算机断层扫描、生化、血液学和脑脊液检查。发现脑脊液IgG指数升高,且与水痘-带状疱疹疱疹抗体有关。她接受了静脉注射阿昔洛韦治疗,脑病得以缓解。

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