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疹病毒脑膜炎呈现为轨道肌肉炎 - 一个病例报告

Akash Gowda^1,2, Jessica Y Tong^1,2, Dinesh Selva^1,2

¹South Australian Institute of Ophthalmology, The University of Adelaide, Adelaide, Australia.

Orbit (Amsterdam, Netherlands)

|August 25, 2023

概括

疹病毒 (Varicella zoster virus,简称VZV) 引起了一种罕见的脑膜炎病例,从轨道肌炎开始,并迅速进展到无皮疹死亡. 这种VZV呈现对治疗没有反应,突出显示了非典型的神经参与.

科学领域:

神经学神经学
传染性疾病传染性疾病
眼科医生眼科眼科

背景情况:

疹病毒 (Varicella zoster virus,简称VZV) 通常会导致水和带状疹.
脑膜大脑炎是大脑及其周围膜的严重炎症.
轨道肌炎和轨道顶部综合征是影响眼的炎症状况.

研究的目的:

报告一个独特的VZV脑膜炎病例.
描述一种非典型的VZV感染表现.
强调在无法解释的神经和轨道综合征中考虑VZV的重要性.

主要方法:

病例报告详细介绍了临床表现,诊断程序和治疗反应.
轨道活检用于VZV检测.
腰部穿刺用于脑脊液分析和VZV确认.

主要成果:

患者出现了轨道肌肉炎,迅速发展为轨道顶部综合征和脑膜炎.
皮疹在整个疾病期间都没有出现.
通过轨道活检和脑脊液分析证实了VZV感染.
脑膜炎对类固醇和抗病毒疗法都不耐药,导致死亡.

结论:

VZV可以引起严重的脑膜炎,与轨道肌肉炎的不寻常的初始呈现.
没有皮疹并不排除VZV作为神经疾病的原因.
这一案例强调了在复杂的轨道和神经表现中迅速诊断和考虑VZV的必要性.

关键词:

轨道肌肉炎是指轨道肌肉炎.脑膜大脑炎是一种脑膜炎.疹病毒 (varicella zoster) 是一种流感的疾病.

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