西方马脑炎,报告了儿科患者的两例病例
Fernando Saúl1, M Victoria Alessandrini2, Milagros Maggi2
1Pediatric Intensive Care Unit; Clínica La Pequeña Familia, Junín, Argentina.
Archivos argentinos de pediatria
|August 9, 2024
概括
西部马脑炎 (WEE) 是一种由蚊子传播的疾病,在阿根廷再次出现,有两例儿科病例. 诊断涉及脑脊液分析和抗体检测,突出显示WEE.
科学领域:
- 病毒学 病毒学
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 西方马脑炎 (WEE) 是一种由载体传播的病毒感染,由阿尔法病毒引起,通常由蚊子传播.
- 马和人类在WEE传输周期中充当终端宿主.
- 自1983年以来,阿根廷没有报告过人类WEE病例.
研究的目的:
- 在阿根廷描述两例西马脑炎 (WEE) 的儿科病例.
- 详细介绍这些WEE病例的临床表现,诊断方法和结果.
主要方法:
- 对出现神经症状的儿科患者进行临床评估.
- 对脑脊液 (CSF) 进行细胞瘤的分析.
- 神经成像 (例如MRI,CT) 来评估大脑的变化.
- 血清诊断包括检测特定的IgM和中和抗体在血清和CSF.
主要成果:
- 两名儿科患者被诊断患有WEE,出现大脑症状.
- 脑液分析显示了细胞形成,神经成像显示了基底腺异常.
- 血清学测试通过IgM和中和抗体证实了WEE诊断.
- 一名患者实现了完全的神经恢复,而另一个患者经历了暂时的半,并且由于EEG异常需要抗药.
结论:
- 本报告记录了阿根廷儿童患者中人类WEE病例的重新出现.
- 通过CSF分析和血清学进行早期诊断对于WEE管理至关重要.
- 在儿童中,WEE可能导致显著的神经后果,需要支持性护理和长期监测.
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