登革热脑炎 - 一个不寻常的病例系列.
Saniya Khosla1, Rahul Chauhan2, Ayush Aggarwal1
1Department of Anaesthesia and Critical Care, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India.
Journal of family medicine and primary care
|September 4, 2024
概括
登革热带来各种症状,包括罕见但严重的神经并发症,如登革热脑炎. 这种情况会影响中枢神经系统,并可能致命,强调了及时诊断的必要性.
科学领域:
- 传染性疾病 传染性疾病
- 神经学 神经学
- 病毒学 病毒学
背景情况:
- 登革热病毒感染表现出广泛的临床谱,从无症状病例到严重的登革热休克综合征.
- 虽然典型的登革热症状得到了认可,但可能会出现不那么常见的神经系统并发症.
- 神经侵入性登革热,特别是登革热脑炎,是一种严重且可能致命的表现.
研究的目的:
- 提供关于登革热临床谱的全面概述.
- 详细说明可能导致严重的神经并发症的可能性,特别是登革热脑炎.
- 强调在爆发期间在脑炎诊断中考虑登革热的重要性.
主要方法:
- 案例系列审查.
- 对登革热感染的临床表现进行分析.
- 关于登革热和神经系统并发症的文献综述.
主要成果:
- 登革热感染呈现出广泛的症状.
- 神经系统并发症,包括登革热脑炎,是罕见但严重的.
- 登革热脑炎涉及直接病毒对中枢神经系统的影响.
结论:
- 登革热脑炎是一种严重的,可能致命的登革热感染的神经侵入性并发症.
- 临床医生应该考虑登革热作为脑炎的差异诊断,特别是在登革热流行期间.
- 早期识别和诊断对于管理严重的登革热神经并发症至关重要.
相关概念视频
Increased Body Temperature
A body temperature above 38°C (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in response to an infection or illness.
Methods of reducing fever
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
Disorders of the Nervous Tissue
Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Types of Fever
Fever can be triggered by several factors, including infections, nervous system disorders, certain cancers, blood diseases like leukemia, embolism, thrombosis, heatstroke, dehydration, surgical trauma, crushing injuries, and allergic reactions.
Here are the different types of fever:
Here are the different types of fever:
Encephalitis l: Introduction
Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Brain Abscess l: Introduction
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...


