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冠状病毒还是胆管炎? 一种由COVID-19引起的急性死性脑病变

Ryotaro Watanabe¹, Junki Mizumoto², Akira Ohya³

¹Internal Medicine, Mimihara General Hospital, Sakai, JPN.

|October 4, 2023

概括

这一病例突显了COVID-19患者患有急性胆道炎的急性死性脑病变 (ANE). 早期诊断至关重要,因为ANE症状可以模仿其他感染,使治疗复杂化.

科学领域:

神经学神经学
传染性疾病传染性疾病
关键护理医学关键护理医学

背景情况:

冠状病毒疾病2019 (COVID-19) 可以出现各种神经复杂症.
急性死性脑病变 (ANE) 是一种罕见但严重的神经疾病.
急性胆道炎是一种胆道系统的细菌感染.

研究的目的:

报告COVID-19次要的急性死性脑病变 (ANE) 病例.
为了强调同时发生的急性胆道炎所带来的诊断挑战.
强调在发烧患者和精神状态改变的患者中识别ANE的重要性.

主要方法:

一个63岁的日本妇女的案例报告.
记录了临床表现,诊断工作和治疗过程.
关于与COVID-19和急性胆道炎相关的ANE的文献综述.

主要成果:

该患者出现了发烧和精神状态改变,最初被诊断为急性胆管炎和COVID-19.
神经状态恶化,导致诊断为急性死性脑病变 (ANE).
这一案例说明了ANE,COVID-19和急性胆道炎的同时发生.

结论:

急性死性脑病变可能是COVID-19的表现.
ANE和急性胆道炎之间的临床重叠可能导致诊断延迟.
医生必须考虑发烧患者的严重神经疾病,如ANE,无论COVID-19确诊是否确诊.

关键词:

急性死性脑病变 (Acute Necrotizing Encephalopathy) 是一种急性死性脑病变.胆管炎是一种炎.临床推理临床推理认知偏见是一种认知偏见.在COVID-19中,有很多人.传染病是一种传染性疾病.

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