一项关于神经参与登革热和 Chikungunya 感染的神经系统的研究
Shipra Gulati1, Samrasimha Reddy Duggu, Kunal Chawla
1Department of Medicine, Sir Ganga Ram Hospital, New Delhi, India.
Annals of African medicine
|August 14, 2024
概括
神经系统并发症是 chikungunya 和登革热的严重问题,增加死亡风险. 早期识别和管理对于这些病毒感染患者的更好的治疗结果至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- chikungunya病毒 (CHIKV) 和登革热导致广泛的流行病,具有不同的临床表现.
- 对CHIKV和登革热都记录了神经系统的参与,影响了中枢神经系统的功能.
研究的目的:
- 确定登革热和 chikungunya 的住院患者的神经干预的频率和模式.
- 评估这些病毒感染中神经系统并发症的预后影响.
主要方法:
- 确诊CHIKV和登革热的入院患者的临床评估和调查.
- 排除患有先前存在的神经疾病或其他神经缺陷原因 (代谢,血管,败血症) 的患者.
主要成果:
- 奇孔古尼亚:309名患者中有11名 (3.56%) 患有神经性干扰,主要是感官变化和头痛. 死亡风险是7.96倍以上.
- 登革热:在443名患者中,5名患者 (1.10%) 患有神经性干扰,常见的是感官变化,头痛和吐. 死亡风险是5.15倍以上.
结论:
- 感染CHIKV和登革热病毒与严重的神经并发症有关.
- chikungunya 和登革热的神经参与是一个不良的预后指标,与死亡率大幅增加有关.
- 需要进一步的研究来了解长期的神经系统的后果.
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