严重的登革热脑炎在MRI上显示"双甜甜圈标志":一个病例报告
Salhadin Mohammed1, Aman Edao Bime2, China Tolessa Sedi3
1Internal Medicine Department, Division of Neurology, School of Medicine, College of Health Sciences, Wollo University, Dessie, Ethiopia.
Radiology case reports
|July 21, 2025
概括
严重的登革热感染可能会导致罕见的脑部并发症,如脑炎. 这一案例突出了脑部成像中的"双甜甜圈标志",这对于迅速诊断和管理这种严重疾病至关重要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 严重的登革热是一个重大的全球健康问题.
- 登革热脑炎是一种罕见但可能致命的并发症.
- 登革热的神经表现需要进一步调查.
研究的目的:
- 报告一种罕见的严重登革热病例,该病例呈现出特定的大脑成像发现.
- 强调认识到登革热脑炎的重要性.
- 突出神经成像在诊断和管理中的作用.
主要方法:
- 一个14岁的女性患有严重登革热的病例报告.
- 分析了临床表现,实验室测试 (登革热抗原,IgM) 和脑成像 (MRI).
- 记录了包括重症监护和随访在内的患者管理.
主要成果:
- 这名患者出现了双边胸部出血性心脏病发作,这是一个罕见的发现.
- 观察到明显的脑成像发现",双甜甜圈标志",被观察到.
- 患者需要重症监护,但在出院后情况有所改善.
结论:
- 登革热感染可以表现为脑膜炎,需要高度怀疑指数.
- 神经成像,特别是MRI,对于诊断和管理登革热脑炎至关重要.
- 及时诊断和管理对于严重登革热病例的良好结果至关重要.
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