一个罕见的晚发埃尔塔因诱导脑病变的罕见病例
Alexander J Teague1, Sushan Gupta1, Vishesh Paul2
1Internal Medicine, Carle Foundation Hospital, Urbana, USA.
Cureus
|September 19, 2023
概括
卡巴胺抗生素可以引起脑病变,这是一个罕见的副作用. 这一案例突出显示,在患有正常功能的患者中,埃尔塔胺诱导的脑病变的延迟发病.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
背景情况:
- 脑病是卡巴胺抗生素的一种罕见不良反应.
- 它通常在治疗开始后一周内发生,并且在功能受损的患者中发生.
研究的目的:
- 报告一种延迟发病的埃尔塔胺诱导脑病变病例.
- 讨论正常功能患者的表现.
主要方法:
- 一个中年男性患有骨质炎的病例报告,他接受了埃尔塔尼姆治疗.
- 激动,妄想和失眠的临床表现.
- 诊断工作,不包括传染病和神经病因.
- 停止使用埃尔塔和观察症状的消失.
主要成果:
- 患者在开始治疗之后超过两周就出现脑病变.
- 功能正常. 这是正常的.
- 神经症状在停用埃尔塔内姆药物后的五天内消失.
- 这种病例表明,与典型表现相比,发病时间延迟.
结论:
- 即使在具有正常功能的患者中,埃尔塔尼姆也可能引起脑病变.
- 延迟症状的出现是可能的.
- 及时识别和停止使用抗生素对于恢复至关重要.
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