《請您診斷》病例126答案:骨髓移植后免疫重建炎性綜合征合并巨細胞病毒腦炎
發(fā)布時間:2018-02-15 04:33
本文關(guān)鍵詞: 免疫重建炎性綜合征 巨細胞病毒腦炎 磁共振成像 診斷 鑒別 出處:《放射學實踐》2017年09期 論文類型:期刊論文
【摘要】:正病例資料患者,女,39歲,急性髓系白血病骨髓移植后5月余,咳嗽頭痛1周,神志不清2天。患者5個月前骨髓移植,移植后持續(xù)血CMV-DNA(+),服用更昔洛韋、賽美維、磷鉀酸鈉后降至正常;颊1周前咳嗽、頭痛,查血CMV-DNA(+),低熱伴有乏力,視力下降,抗感染治療后咳嗽好轉(zhuǎn);2天前因神志不清、抽搐入住我院。查體:嗜睡,呼之有反應(yīng),對答部分切題,定向力不完整,輕度水平眼震,左下肢肌力5級,
[Abstract]:A 39-year-old female patient with acute myeloid leukemia received bone marrow transplantation on May, cough headache for 1 week, and confusion for 2 days. The patient received bone marrow transplantation five months ago and continued to receive CMV-DNA after transplantation, taking ganciclovir and semevir. The patient had a cough, headache, blood CMV-DNA examination before 1 week, low fever accompanied with fatigue, decreased vision, and 2 days after anti-infection treatment, he had been admitted to our hospital because of confusion and convulsion after the treatment of anti-infection, the patient had been admitted to our hospital for physical examination: drowsiness, response to exhalation, Answer part of the question, the directional force is not complete, mild horizontal nystagmus, left lower limb muscle strength 5,
【作者單位】: 廣東省醫(yī)學科學院 廣東省人民醫(yī)院放射科;
【分類號】:R445.2;R512.3
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本文編號:1512433
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