登革热感染的神经表现
T Solomon1, N M Dung, D W Vaughn
1Wellcome Trust Clinical Research Unit, Cho Quan Hospital, Ho Chi Minh City, Vietnam. tom.solomon@virgin.net
Lancet (London, England)
|April 1, 2000
概括
登革热病毒感染可以导致中枢神经系统 (CNS) 疾病,包括脑炎,在特有地区. 在患有神经症状的患者中,即使没有典型的登革热症状,对登革热的早期调查至关重要.
科学领域:
- 亚博病毒学 亚博病毒学
- 神经学 神经学
- 传染性疾病 传染性疾病
背景情况:
- 登革热是一种重要的树状病毒感染,已知有严重的形式,如出血性疾病和血管泄漏综合征.
- 登革热病毒在引起神经疾病中的作用仍然不确定.
研究的目的:
- 调查越南南部登革热病毒感染与中枢神经系统 (CNS) 感染之间的关联.
- 确定登革热相关神经疾病的频率和临床表现.
主要方法:
- 使用病毒培养,PCR和血清和脑脊液 (CSF) 中抗体检测,对疑似中枢神经系统感染的患者进行前性调查.
- 与医院对照组进行比较.
- 孤立的登革热病毒菌株的遗传学分析.
主要成果:
- 登革热病毒感染在4.2%的中枢神经系统感染患者中被发现,明显高于对照组 (1.4%).
- 神经学表现包括意识减弱和;九名患者出现脑炎.
- 六名患者在出院时经历了神经系统的后果,没有死亡.
结论:
- 登革热病毒应该被视为在特有地区引起脑炎和脑病变的原因.
- 建议对患有神经症状的患者进行登革热检查,无论是否存在与登革热有关的其他特征.
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