Neuroborreliosis as a cause of respiratory failure
Neuroborreliosis as a cause of respiratory failure
复制标题
神经疏螺旋体病是呼吸衰竭的一个原因
作者：
Mark T. Silva;Mark Sophar;R. Howard;G. Spencer
我们报告三例以急性呼吸损害为表现的脑型疏螺旋体病。所有患者均有脑病和局灶性神经体征，其中2例伴有脑干异常。所有三名患者都有呼吸骤停与进行性夜间低通气或延长中枢性呼吸暂停有关。所有病例均需行气管切开和长时间的呼吸机支持，撤机时伴有残留的中枢性呼吸紊乱。这些病例强调在不明原因呼吸衰竭的鉴别诊断中应考虑疏螺旋体感染。
We report three cases of neuroborreliosis presenting with acute respiratory impairment. All the patients had encephalopathy and focal neurological signs with brain stem abnormalities in two. All three patients had respiratory arrest associated with progressive nocturnal hypoventilation or prolonged central apnoea. Tracheostomy and prolonged periods of ventilatory support were necessary in all cases and weaning was complicated by residual central respiratory disturbances. These cases emphasise thatBorrelia infection should be considered in the differential diagnosis of unexplained respiratory failure.
莱姆病的中枢神经系统表现。
影响因子：
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作者：
Pachner,AR;Duray,P;Steere,AC
通讯作者：
Steere,AC