复发性呼吸暂停:是一种先天性登革热的神经表现
Rajarajan Paulpandian1, Prakash Amboiram2, Umamaheswari Balakrishnan1
1Neonatology, Sri Ramachandra Medical College and Research Institute, Chennai, India.
BMJ case reports
|May 11, 2025
概括
新生儿的先天性登革热可能会导致神经问题. 这一案例突出显示了先前未被描述的症状 - - 复发性呼吸暂停 - - 在患有登革热的婴儿身上,这种症状被脑脊液中的NS1抗原证实.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 在新生儿中,先天性登革热表现为各种各样的临床表现,从无症状到严重的休克和出血.
- 出生性登革热的神经并发症很少见,有报道的病例包括小头症,脑炎和腹腔内出血.
- 以前没有记录过呼吸暂停作为先天性登革热的临床表现.
研究的目的:
- 报告一种新型的先天性登革热的神经表现:新生儿的复发性呼吸暂停.
- 强调在流行地区考虑新生儿出现无法解释的呼吸困难时考虑登革热的重要性.
主要方法:
- 一个新生儿被诊断出患有先天性登革热的案例报告.
- 临床观察和诊断工作,包括脑脊液中NS1抗原测试.
主要成果:
- 新生儿出现了复发性呼吸暂停.
- 先天性登革热通过脑脊液中NS1抗原的存在得到证实.
- 这种病例扩大了与先天性登革热相关的神经表现的范围.
结论:
- 呼吸暂停可能是新生儿先天性登革热的表现.
- 早期诊断和治疗对于患有先天性登革热的婴儿至关重要,特别是那些有神经症状的婴儿.
- 需要进一步的研究来了解先天性登革热神经表现的病理生理学和长期影响.
更多相关视频
05:28Electrophysiology on Isolated Brainstem-spinal Cord Preparations from Newborn Rodents Allows Neural Respiratory Network Output Recording
Published on: November 19, 2015
8.5K
06:00Author Spotlight: Development of a Smartphone-Enhanced Paper-Based Device for Rapid Dengue NS1 Detection
Published on: January 26, 2024
985
相关概念视频
Sleep Apnea
117
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
117
Acute Respiratory Failure-IV
107
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
107
Sleep-Wake Cycles
1.1K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.1K
Other Pulmonary Disorders
784
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
784
Respiratory Volumes and Capacities I
779
Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
779
Acute Respiratory Failure-III
146
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
146
