来自印度南部的中年儿童的登革热脑球炎
Venkatesh Kumar Balan1, Sarala Premkumar2, Elayaraja Sivaprakasam2
1Paediatric Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, India drvk@sriramachandra.edu.in.
BMJ case reports
|July 4, 2025
概括
登革热很少会导致小脑炎,这是一个罕见的神经复杂症. 及时诊断和支持性护理导致一名儿科患者完全康复.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 登革热是热带地区常见的一种树状病毒性疾病.
- 登革热的神经表现很少发生,但可能很严重.
- 脑炎,小脑的炎症,是登革热感染的罕见并发症.
研究的目的:
- 报告一例罕见的儿童登革热相关脑炎病例.
- 强调考虑登革热的非典型表现的重要性.
- 强调及时诊断在管理登革热的神经并发症中的作用.
主要方法:
- 一个案例研究中年女孩呈现的症状暗示登革热.
- 进行了临床检查,包括囊镜和神经成像 (MRI大脑).
- 进行了实验室调查,包括登革热IgM抗体测试,肝功能测试和费里水平.
主要成果:
- 患者出现了长时间的发烧,吐,腹痛和休克症状.
- 发展了神经症状,包括鼻,双眼,头和乳头发.
- 磁力共振扫描显示大脑小脑强度高与大脑炎一致;登革热IgM阳性.
- 患者通过支持性护理和抗措施恢复过来.
结论:
- 登革热可能伴随着罕见的神经系统并发症,如小脑炎.
- 早期识别和管理登革热中小脑炎对于有利的结果至关重要.
- 这一案例强调了登革热病毒感染的多样化临床谱.
相关概念视频
Viral Meningitis
Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Poliomyelitis
Poliomyelitis is caused by poliovirus, a small, non-enveloped, positive-sense RNA virus of the Picornaviridae family and Enterovirus genus. Transmission occurs primarily via the fecal-oral route, often through ingestion of contaminated water or food. The virus initially replicates in the oropharynx and intestinal mucosa, particularly in lymphoid tissues such as the tonsils, Peyer’s patches, and regional lymph nodes. Primary viremia follows, allowing dissemination throughout the body.In most...
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...
Yellow Fever
Yellow fever is a viral hemorrhagic disease caused by the yellow fever virus (YFV), a member of the Flaviviridae family. It is transmitted primarily by Aedes and Haemagogus mosquitoes in tropical and subtropical regions of Africa and South America. After transmission through a mosquito bite, the virus initially replicates in skin-resident immune cells such as dendritic cells and macrophages. These cells then migrate to the lymph nodes, where viral replication increases, eventually leading to...
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...
Encephalitis ll: Pathophysiology
Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...


