Acute necrotizing encephalopathy in an adult with influenza A infection

Acute necrotizing encephalopathy in an adult with influenza A infection
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DOI:
10.2147/tcrm.s160111
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发表时间:
2018-01-01
影响因子:
2.8
通讯作者:
Takigawa, Nagio
Takigawa, Nagio
中科院分区:
医学4区
文献类型:
--
作者:
Ochi, Nobuaki;Takahashi, Kento;Takigawa, Nagio

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流感感染后的急性坏死性脑病是一种进展迅速、发病率高的疾病。虽然神经系统疾病有时在儿童中报道,但在成人中非常罕见。我们在此描述一个成人急性坏死性脑病捕获的一系列脑磁共振图像。一名55岁男子发烧,意识受损。他被诊断患有甲型H1N1流感。脑磁共振显示小脑和基底核对称病变,表现为典型的急性坏死性脑病。医生应该知道,流感相关的急性坏死性脑病甚至可以发生在中年人身上。
Acute necrotizing encephalopathy following influenza infection is a rapidly progressing disease with high morbidity. Although the neurological disorder is sometimes reported in children, it is very rare in adults. We herein describe an adult with acute necrotizing encephalopathy captured on a series of brain magnetic resonance images. A 55-year-old man had fever and impaired consciousness. He was diagnosed with influenza A (H1N1). Brain magnetic resonance imaging revealed symmetrical lesions in the cerebellum and basal nucleus, showing typical acute necrotizing encephalopathy. Physicians should know that influenza-associated acute necrotizing encephalopathy can occur even in middle-aged adults.