中枢神经型布氏杆菌病1例及文献复习

• 作 者: 袁冰 卜宪聪 李林文
• 机 构: 山东省枣庄市市立医院,
• 出 处: 中国实用医药
• 发表日期: 2017年15期
• 关键词: 神经型 影像学检查 布氏杆菌感染 早期诊断 双下肢肌力 脑脊膜 小胶质细胞 阳性体征 脑脊液白细胞 横向定位

为提高对中枢神经型布氏杆菌病的认识,避免漏诊、误诊,对1例中枢神经型布氏杆菌病患者进行报道。患者有可疑布氏杆菌接触史,依据临床表现、实验室、影像学及病原学检查等,可确诊为中枢神经型布氏杆菌病,经系统治疗后患者症状明显好转,随访1个月无复发。布氏杆菌病累及神经系统,表现复杂多样,影像学无特殊表现,不明原因神经系统损害时应考虑到本病,早期诊断和规范治疗预后较好。

To enhance awareness of CNS-type brucellosis and to avoid misdiagnosis and misdiagnosis, one case of CNS-type brucellosis was reported. Patients with suspicious brucellosis exposure history, based on clinical manifestations, laboratory, imaging and etiological examination, can be diagnosed with central nervous type brucellosis, after treatment of patients with symptoms was significantly improved, followed up for 1 month without recurrence . Brucellosis affects the nervous system, the performance of complex and diverse, imaging no special performance, unexplained nervous system damage should take into account the disease, early diagnosis and standardization of treatment prognosis is good.