一名孕妇出现的神经李斯特菌病表现为心跳减慢性眼球震颤。

IF 0.8 Q4 CLINICAL NEUROLOGY

Neuro-Ophthalmology Pub Date : 2023-03-13 eCollection Date: 2023-01-01 DOI:10.1080/01658107.2023.2186431

Ritwik Ghosh, Moisés León-Ruiz, Sona Singh Sardar, Padavi Lalsing D, Julián Benito-León

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引用次数: 0

摘要

单核细胞增多性李斯特菌倾向于两个免疫“特权”位点，即孕妇的胎儿胎盘单位和免疫功能受损个体的中枢神经系统（神经李斯特菌病）。我们报告了一例来自印度西孟加拉邦农村的既往无症状孕妇的神经李斯特菌病，她表现为亚急性发热性疾病，特征为菱形脑炎和以中线小脑病变为主的疾病（缓慢和畸形的扫视、华丽的下拍眼球震颤、水平眼球震颤和共济失调）。通过及时的检测和长期的静脉抗生素治疗，母亲和胎儿都得到了平静的挽救。

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Downbeat Nystagmus as a Presenting Manifestation of Neurolisteriosis in a Pregnant Woman.

Listeria monocytogenes has tropism towards two immunologically "privileged" sites, the fetoplacental unit in pregnant women and the central nervous system (neurolisteriosis) in immunocompromised individuals. We report a case of neurolisteriosis in a previously asymptomatic pregnant woman from rural West Bengal, India, who presented with a subacute onset febrile illness with features of rhombencephalitis and a predominantly midline-cerebellopathy (slow and dysmetric saccades, florid downbeat nystagmus, horizontal nystagmus, and ataxia). With timely detection and the institution of prolonged intravenous antibiotic therapy, both the mother and the fetus were saved uneventfully.

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来源期刊

Neuro-Ophthalmology 医学-临床神经学

CiteScore

1.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Neuro-Ophthalmology publishes original papers on diagnostic methods in neuro-ophthalmology such as perimetry, neuro-imaging and electro-physiology; on the visual system such as the retina, ocular motor system and the pupil; on neuro-ophthalmic aspects of the orbit; and on related fields such as migraine and ocular manifestations of neurological diseases.