创伤性椎脊髓损伤后的四分体发烧:诊断挑战和对勃罗莫克里普丁的治疗反应
Rita Bragança1, Mariana Esteves1, Paulo Carrola1
1Internal Medicine, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Vila Real, PRT.
Cureus
|February 9, 2026
概括
脊髓损伤 (SCI) 后的一种罕见的神经性高烧症 - - 四方体发烧 - - 已成功地用布罗莫克里普丁治疗. 这一案例突显了烯二烯的存在.
科学领域:
- 神经学 神经学
- 关键护理医学 关键护理医学
- 内分泌学 在内分泌学.
背景情况:
- 四方体发烧是一种罕见的,危及生命的神经性高发烧症,发生在高部或上胸部脊髓损伤 (SCI) 后.
- 它经常被误诊为感染,原因是自主和中央温度调节功能障碍导致的极端,非传染性高温症.
研究的目的:
- 在创伤性C4-C5SCI之后报告四重发烧病例.
- 为了说明布罗莫克丁在治疗这种疾病中的诊断挑战和治疗效果.
主要方法:
- 一名72岁的女性患有C4-C5SCI,患有严重的术后高烧症,不耐标准治疗.
- 通过排除传染病,炎症,内分泌,瘤和与硬件相关的原因来确立四体热的诊断.
- 开始治疗是每天两次服用5毫克的肠内素.
主要成果:
- 布罗莫克里普丁的使用导致发烧在24小时内完全消失,持续性厌氧没有副作用.
- 患者在良好的条件下出院,使其能够继续康复.
结论:
- 四方体发烧是SCI患者具有耐火性发烧的排除诊断.
- 延迟识别可能会导致严重的发病率和资源利用.
- 勃罗莫克里因显示承诺作为一个有效的治疗选择为四方体发烧.
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