肺炎衣原体感染后格林-巴利综合征

• 作 者: 孙羽非
• 出 处: 国外医学(儿科学分册)
• 发表日期: 1993年01期
• 关键词: 肺炎衣原体感染 急性呼吸道感染 双下肢对称性 左肺下叶 感觉障碍 血沉 反射减弱 下肢 末梢 肌肉

病例男,13岁。因末梢感觉障碍及下肢进行性软弱无力2周而入院,2周前患急性呼吸道感染伴有明显干咳。既往健康,患儿弟弟有同样的呼吸道症状。查体双下肢对称性肌肉无力,反射减弱或消失。肌肉无强直。感觉无异常。脑脊液清晰,无细胞,蛋白稍增加(0.55g/L),糖正常。一周后,脑脊液中蛋白增加至1.31g/L,血沉3mm/h白细胞8.3×10~9/L,胸片显示左肺下叶肺炎。

Case male, 13 years old. Due to peripheral sensory disturbances and weakness of the lower extremities were admitted to hospital for 2 weeks, with acute respiratory infection two weeks ago with significant dry cough. Past health, children and younger brother have the same respiratory symptoms. Physical examination of lower extremity symmetry muscle weakness, reflection weakened or disappeared. Muscle without rigidity. No abnormal feeling. Clear cerebrospinal fluid, no cells, a slight increase in protein (0.55g / L), normal sugar. One week later, the protein in cerebrospinal fluid increased to 1.31g / L, erythrocyte sedimentation rate 3mm / h, white blood cells 8.3 × 10 ~ 9 / L, chest X-ray showed pneumonia in left lower lobe.