与B型流感相关的脑病变. 1971年在芝加哥爆发的雷耶综合征在芝加哥爆发
JAMA
|February 24, 1975
概括
乙型流感疫情可能会导致儿童严重的神经疾病,包括雷耶综合征. 这项研究强调了在流感流行期间监测神经复杂症的必要性.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 雷耶综合征是一种严重的疾病,影响大脑和肝脏.
- 此前,B型流感已与中枢神经系统 (CNS) 的并发症有关.
研究的目的:
- 调查B型流感与儿童脑病,包括雷耶综合征之间的关联.
- 评估这些神经系统并发症的发生频率和结果.
主要方法:
- 在特定时期内对患有脑病症的住院儿童进行了回顾性分析.
- 临床评估,实验室测试 (血清标位,病毒隔离) 和结果评估.
主要成果:
- 48名患有脑病变的儿童住院治疗;14人符合雷耶综合征的标准.
- 中枢神经系统功能障碍发生在呼吸系统疾病发生后的10天内;发现发作和死亡.
- 在24名测试患者中,16名患者患有B型流感,其中2名患者病毒分离.
结论:
- B型流感是雷耶综合征和其他中枢神经系统并发症的重要原因.
- 对神经系统病变的流行病学监测应纳入流感流行病评估.
相关概念视频
Rocky Mountain Spotted Fever
Rocky Mountain Spotted Fever (RMSF) is a severe tick-borne illness caused by Rickettsia rickettsii, a Gram-negative, coccobacillary bacterium. This pathogen is an obligate intracellular parasite, requiring a host cell for replication. Transmission occurs through the bite of an infected tick. In the United States, the most important vectors are Dermacentor variabilis (American dog tick) and Dermacentor andersoni (Rocky Mountain wood tick), though other tick species may also serve as vectors.
Rabies
Rabies is a lethal zoonotic disease caused by a single-stranded, negative-sense RNA virus of the Lyssavirus genus, within the family Rhabdoviridae. Its primary mode of transmission to humans is through bites or saliva-contaminated scratches from infected mammals such as dogs, bats, raccoons, or foxes. Transmission can also occur if infectious saliva contacts abraded skin or intact mucous membranes, including the conjunctiva.Viral Entry and Early ReplicationOnce introduced at the bite or scratch...
Arboviral Encephalitis
Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
Influenza
Influenza is an acute, highly communicable viral disease that affects the respiratory tract and is responsible for seasonal epidemics worldwide. Influenza A is the most prevalent type associated with widespread outbreaks and is subtyped based on two surface glycoproteins: hemagglutinin (H) and neuraminidase (N), as in H1N1. These glycoproteins are essential for viral infectivity, transmission, and immune recognition. Transmission occurs primarily through respiratory droplets and contaminated...
Encephalitis l: Introduction
Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Encephalitis ll: Pathophysiology
Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...


