感染 SARS-CoV-2 后出现急性播散性脑脊髓炎 (ADEM):伊朗的一份病例报告

Q3 Nursing
Elnaz Asadollahzade , Sara Azhdari , Mohammed-Sadegh Johari , Abdorreza Naser Moghadasi
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引用次数: 0

摘要

2019 年新型冠状病毒病(COVID-19)疫情已在全球迅速蔓延,成为一个严重的公共卫生问题。COVID-19 除呼吸道症状外,还具有神经毒性特征,可影响神经系统。我们报告了一名 22 岁的女性,她在感染 COVID-19 8 天后出现复视和四肢麻木,并表现出左侧向外凝视麻痹,此前没有任何特殊疾病或用药史。胸骨上、胸骨下和颈部脊髓增强斑块证实了急性脱髓鞘过程,更倾向于急性播散性脑脊髓炎(ADEM)。她的寡克隆带(OCB)也呈阳性。因此,她被临时诊断为急性播散性脑脊髓炎(ADEM)。开始使用皮质类固醇和利妥昔单抗后,她的病情明显好转。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acute disseminated encephalomyelitis (ADEM) following SARS-CoV-2 infection: A case report from Iran

The new coronavirus disease 2019 (COVID-19) outbreak has rapidly spread throughout the world, becoming a serious public health problem. COVID-19, in addition to respiratory symptoms, has neurotropic characteristics that can impact the nervous system. We present a 22-year-old female who developed diplopia and numbness of her limbs eight days after affecting by COVID-19 and she showed a left-sided outward gaze palsy without any history of previous a specific illness or medication. Supratentorial, infratentorial, and cervical cord enhancing plaques confirmed an acute demyelinating process in favor of Acute disseminated encephalomyelitis (ADEM). Her oligoclonal bands (OCB) were positive as well. As a result, a provisional diagnosis of ADEM was made. Her condition improved dramatically after starting corticosteroids and rituximab.

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