猿病毒的神经侵入性潜力:一个25年的系统审查
Arham Amir1, Haseeb Mehmood Qadri2,3, Junaid Saffi4
1General Surgery and Surgical Oncology, Shaikh Zayed Medical Complex, Lahore, PAK.
Cureus
|February 24, 2025
概括
猿 (MPX) 的神经并发症越来越令人担忧. 这篇综述强调了诸如疲劳和发烧等常见症状,以及脑部成像检查的结果,强调了需要及时的医疗护理.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 麻疹 (MPX) 是一种动物性病毒性疾病,其症状类似于天花.
- MPX可能导致严重的中枢神经系统并发症,包括脑炎和内出血.
研究的目的:
- 基于现有文献,系统地审查和评估MPX感染的神经系统后果.
- 整合MPX神经表现,诊断和治疗的数据.
主要方法:
- 从2000年1月到2024年8月,在PubMed Central和谷歌学者中进行了系统的文献搜索.
- 系统审查和元分析 (PRISMA) 战略的首选报告项目被用于确定相关的案例报告,系列和原始研究.
- 包括25项研究,包括758名确诊MPX和神经参与的患者的数据.
主要成果:
- 患者的平均年龄为26.77±12.17岁,女性占主导地位 (65.27%).
- 疲劳/不适 (34.37%),发烧 (31.27%) 和头痛 (29.84%) 是最常见的症状.
- 大脑成像显示T2和FLAIR高强度在18.75%的病例中,与大脑干,皮质和thalamic参与.
结论:
- 在MPX中出现的神经系统的参与是令人震惊的,需要快速反应.
- 需要进一步的研究来探索MPXV的神经特异性.
- 早期识别和干预对于管理MPX传播和患者结果至关重要.
相关概念视频
Rabies
Rabies is a lethal zoonotic disease caused by a single-stranded, negative-sense RNA virus of the Lyssavirus genus, within the family Rhabdoviridae. Its primary mode of transmission to humans is through bites or saliva-contaminated scratches from infected mammals such as dogs, bats, raccoons, or foxes. Transmission can also occur if infectious saliva contacts abraded skin or intact mucous membranes, including the conjunctiva.Viral Entry and Early ReplicationOnce introduced at the bite or scratch...
Arboviral Encephalitis
Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
Cryptococcal Meningitis
Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
Toxoplasmosis
Toxoplasmosis, a zoonotic disease caused by the protozoan Toxoplasma gondii, poses significant public health challenges globally due to its high seroprevalence and varied clinical manifestations. As an obligate intracellular parasite, T. gondii can infect all warm-blooded vertebrates, but felids are its only definitive hosts, shedding unsporulated oocysts into the environment. Humans typically acquire the infection through ingestion of tissue cysts in undercooked meat or oocysts from...
American Trypanosomiasis
Chagas disease, or American trypanosomiasis, is a vector-borne parasitic infection caused by Trypanosoma cruzi, a flagellated protozoan (kinetoplastid) of the family Trypanosomatidae. The disease is endemic in Latin America, although cases are increasingly reported worldwide due to human migration. Transmission most commonly occurs when feces of infected triatomine bugs contaminate bite wounds or mucosal surfaces; additional routes include congenital, transfusional, transplant-related, and oral...


