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神经不典型布氏杆菌病3例报道
引用本文:赵努恩吉雅,马俊萍,姜彩霞,张东威.神经不典型布氏杆菌病3例报道[J].中国实用医药,2014(3):189-191.
作者姓名:赵努恩吉雅  马俊萍  姜彩霞  张东威
作者单位:内蒙古民族大学附属医院神经内科,028000
摘    要:目的:探讨不典型神经型布氏杆菌病的临床持点,提高对其认识。方法回顾性分析本院收治的3例布氏杆菌病临床资料。结果3例均缺乏布氏杆菌病的常见表现及缺乏全身性症状和体征,病情复杂,其他疾病不能解释的神经症状,考虑到流行病学资料,布氏杆菌血清凝集试验均阳性,并血培养及规律抗布氏杆菌治疗后预后好。结论神经布氏杆菌病临床表现缺乏特异性时,应该提高认识,依据流行病学史、临床表现及实验室检查及影像学检查进行临床诊断,治疗采用抗生素联合原则,预后良好。

关 键 词:布鲁杆菌病  神经系统  脑脊液

Peports on 3 cases of atypical neurobrucellosis
Institution:ZHAO Nu En Ji Ya, MA Jun-ping, JIANG Cai-xia, et al. (Department of Neurology, Affiliated Hospital of Inner Mongolia University for the Nationalities ,Tongliao 028000, China)
Abstract:Objective To investigate the clinical feature of atypical neurobrucellosis to improve level of understanding. Methods The clinical data of 3 cases with neurobrucellosis were retrospectively summarized. Results 3 cases with atypical presentation and common performance of brucellosis, and developed unexplained neurological symtoms were diognosised, considering the epidemiological information, positive brucella serum agglutinin test , and blood culture.And they have a better pronosis through comprehensive treatment. Conclusion Neurobrucellosis presents with lack of specificity clinical signs should be raised awareness. Clinical diagnosis is on the basis of epidemiological history, clinical manifestation and laboratory examination and imaging examination. The combined treatment by antibotics is effective and the prognosis is favorable.
Keywords:Brucellosis  Central nervous system  Cerebrospinal fluid
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