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作者报告一名准备从事儿童工作的20岁男性,按要求应接种风疹疫苗。接种麻疹、腮腺炎、风疹疫苗后5天,出现发热、乏力、咽喉痛、上身一过性皮疹,症状此起彼伏达两周。此后,发生尿潴留和上行性感觉异常。入院时,该病例有迅速进行性弛缓性截瘫,胸1段以下感觉缺失,大便失禁,发热持续36小时。 全血细胞计数和红细胞沉降率正常。脑脊液清晰、无色,白细胞为370×10~6(80％为淋巴细胞),红细胞为207×10~6,蛋白质为1.8mg/L,葡萄糖为3.0mmol/L(血清葡萄糖浓度为4.3mmol/L)。革兰染色阴性,脑脊液和咽喉拭子未检出病毒病原体。EB病毒、腮腺炎、麻疹和风疹病毒的血清学试验表明,仅风疹抗体滴度有明显升高(IgG从30IU上升到
The author reports that a 20-year-old man who is going to work with children should receive a rubella vaccine as required. Five days after inoculation of the measles, mumps and rubella vaccines, fever, weakness, sore throat and a transient rash on the upper body were observed. The symptoms tended to rise for two weeks. Since then, urinary retention and ascending sensory abnormalities have occurred. Admission, the case of rapid flaccid paraplegia, chest 1 below the following sensory loss, fecal incontinence, fever sustained for 36 hours. Full blood count and erythrocyte sedimentation rate were normal. Cerebrospinal fluid was clear and colorless, the number of leukocytes was 370 × 10 ~ 6 (80% of lymphocytes), the number of erythrocytes was 207 × 10 ~ 6, the protein was 1.8mg / L, glucose was 3.0mmol / L (serum glucose concentration was 4.3mmol / L). Gram-negative, cerebrospinal fluid and throat swab did not detect the viral pathogens. Serological tests of Epstein-Barr virus, mumps, measles and rubella virus showed that rubella antibody titers were significantly elevated (IgG rose from 30 IU to