西尼罗病毒相关的血细胞淋巴细胞瘤,瑞士,瑞士
Emerging infectious diseases
|January 6, 2026
概括
西尼罗病毒感染可以呈现非典型的胃肠道和神经系统症状. 早期诊断使用高通量测序和及时的皮质类固醇治疗导致患者康复.
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:
- 西尼罗河病毒 (WNV) 是一种蚊子传播的黄病毒,具有广泛的临床表现.
- 异常呈现的WNV感染可能会带来诊断挑战.
研究的目的:
- 报告一例西尼罗病毒感染病例,最初呈现异常.
- 突出高通量测序和眼科发现在WNV感染中的诊断实用性.
主要方法:
- 一个62岁的病人的病例报告被送往医院,患有发烧性腹和吐.
- 血细胞性淋巴菌细胞症和脑膜炎的发展.
- 用皮质类固醇治疗.
- 诊断证实使用高通量测序和眼科检查.
主要成果:
- 患者出现了WNV感染的非典型症状,包括发烧性腹和吐.
- 患者出现了严重的并发症:血细胞性淋巴组织细胞瘤和脑膜炎.
- 皮质类固醇治疗导致临床改善.
- 高通量测序和眼科发现对于诊断西尼罗河病毒至关重要.
结论:
- 在患有非典型发烧性疾病的患者中,即使有胃肠道症状,也应考虑感染西尼罗病毒.
- 高通量测序是诊断WNV感染的宝贵工具,特别是在复杂的情况下.
- 眼科发现可以为WNV诊断提供支持证据.
相关概念视频
Rocky Mountain Spotted Fever
Rocky Mountain Spotted Fever (RMSF) is a severe tick-borne illness caused by Rickettsia rickettsii, a Gram-negative, coccobacillary bacterium. This pathogen is an obligate intracellular parasite, requiring a host cell for replication. Transmission occurs through the bite of an infected tick. In the United States, the most important vectors are Dermacentor variabilis (American dog tick) and Dermacentor andersoni (Rocky Mountain wood tick), though other tick species may also serve as vectors.
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...
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...
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...


