关键词: Glasgow Coma Scale cerebrospinal fluid chikungunya virus chikungunya virus RNA intravenous immunoglobulin magnetic resonance imaging

来  源:   DOI:10.1002/ccr3.8656   PDF(Pubmed)

Abstract:
UNASSIGNED: Chikungunya encephalitis, though rare, warrants clinical attention due to its severe complications. Early identification and appropriate management are crucial for improved outcomes in patients with this rare manifestation of chikungunya virus (CHIKV) infection.
UNASSIGNED: CHIKV infection is commonly associated with fever and joint pains, but neurological complications such as encephalitis are rare. Here, we present a unique case of confirmed chikungunya encephalitis in a 12-year-old male exhibiting atypical neurological symptoms. The diagnostic journey involved comprehensive neuroimaging and serological investigations, revealing intriguing findings on magnetic resonance imaging and positive CHIKV RNA in serum and cerebrospinal fluid. We discuss the clinical presentation, radiological characteristics, and management strategies, emphasizing the importance of recognizing this uncommon neurological manifestation of CHIKV infection.
摘要:
基孔肯亚脑炎,虽然罕见,由于其严重的并发症,值得临床关注。早期识别和适当的管理对于改善患有这种罕见的基孔肯雅病毒(CHIKV)感染的患者的预后至关重要。
CHIKV感染通常与发烧和关节痛有关,但神经系统并发症如脑炎很少见.这里,我们介绍了一例确诊为基孔肯雅脑炎的独特病例,其中一名12岁男性表现出不典型的神经系统症状.诊断过程涉及全面的神经影像学和血清学检查,揭示了磁共振成像和血清和脑脊液中CHIKVRNA阳性的有趣发现。我们讨论临床表现,放射学特征,和管理策略,强调认识到这种罕见的CHIKV感染的神经系统表现的重要性。
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