儿科莱姆病不常见的神经眼科发现
Umme Habiba Fatima Syeda1, Nika Bakshi2, Eric Sherman3
1Pediatrics, Corewell Health William Beaumont University Hospital, Royal Oak, USA.
Cureus
|February 11, 2026
概括
在一个儿童中,传播的莱姆病 (LD) 导致视神经胀和眼肌. 迅速治疗导致完全康复,强调了儿科莱姆神经病变的早期诊断.
科学领域:
- 儿科神经学 儿科神经学
- 传染性疾病 传染性疾病
- 眼科医生 眼科 眼科
背景情况:
- 莱姆氏病 (Lyme disease,简称LD) 是美国和欧洲传播的重要疾病之一.
- 散布的LD可以表现为各种神经和眼部症状.
研究的目的:
- 报告一个患有散播莱姆病的儿科病例,有异常的眼睛和神经学发现.
- 强调早期诊断和治疗儿童莱姆神经病变的重要性.
主要方法:
- 一个4岁的女性患有传播莱姆病的病例报告.
- 临床表现包括宪法症状,红血类似的皮疹,视神经,神经麻.
- 诊断工作包括脑脊液分析和眼科检查.
主要成果:
- 脑脊液分析显示了莱姆抗体指数升高,多细胞体和内高血压.
- 根据EFNS指导方针诊断出莱姆神经病变的患者.
- 用抗生素 (塞夫特里亚克森,多克西环素),皮质类固醇和乙胺治疗导致神经和眼部症状完全消失.
结论:
- 这一案例强调了怀疑儿科患者出现神经或眼部症状的莱姆病的必要性.
- 及时的住院评估和治疗对于管理莱姆神经病变的不常见眼部表现至关重要.
- 快速改善突显了及时治疗干预的有效性.
相关概念视频
Finding the Center of Gravity
4.4K
The center of gravity of a body is an imaginary point where the body's total weight is assumed to be concentrated, and the body is perfectly balanced. The center of the mass of a body is a point at which the whole of the mass of the body appears to be concentrated. If the acceleration due to gravity, g, has the same value at all points on a body, its center of gravity is identical to its center of mass. The center of gravity of homogeneous bodies such as a sphere, cube, or rectangular plate...
4.4K
Cardiovascular System Abnormal Findings I: Inspection and Palpation
950
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
950
Respiratory System Abnormal Finding I: Inspection and Percussion
862
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
862
Finding Electric Potential From Electric Field
5.7K
For a system of charges, it is easy to calculate the system's potential because potential is a scalar quantity. However, in some instances where calculating the electric field is more straightforward than finding the potential, the electric field is used to calculate the system's potential. For a positive charge, the electric field is radially outward, and the potential is positive at any finite distance from the positive charge. In such an electric field, the motion away from the...
5.7K
Finding Volume Using Cross-Sectional Area
96
For solids whose cross-sectional areas vary in a predictable way, volume can be determined by integrating these areas along an axis perpendicular to the slices. This approach is particularly useful for polyhedral solids, where classical geometric formulas may not be immediately applicable. A tetrahedron provides a clear example of how cross-sectional integration can be applied to a three-dimensional object with continuously changing geometry.Consider a tetrahedron with height h and a base that...
96
Cardiovascular System Abnormal Findings II: Auscultation
644
Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
Abnormal Heart Sounds
Gallops:
Abnormal Heart Sounds
Gallops:
644


