新型冠状病毒肺炎合并结核性脑膜炎一例  

A case of COVID-19 with tuberculous meningitis

作　　者：王亮[1] 蔡佳[2] 罗华婷 关鸿志[3] 汪志红[4] 黄诚[1] 周发春[5] Wang Liang;Cai Jia;Luo Huating;Guan Hongzhi;Wang Zhihong;Huang Cheng;Zhou Fachun(Department of Neurology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Infectious Diseases,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Neurology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Endocrinology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Critical Care Medicine,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院神经内科,400016 [2]重庆医科大学附属第一医院感染科,400016 [3]中国医学科学院北京协和医院神经科,100730 [4]重庆医科大学附属第一医院内分泌科,400016 [5]重庆医科大学附属第一医院重症医学科,400016

出　　处：《中华神经科杂志》2020年第5期361-364,共4页Chinese Journal of Neurology

基　　金：重庆市卫生健康委员会医学科研项目(2017MSXM013)。

摘　　要：新型冠状病毒肺炎(COVID-19)由新型冠状病毒感染肺部所致。尽管COVID-19部分患者可合并神经系统症状,例如急性脑血管病症状、四肢酸痛、无力等肌肉损害的症状,以及头痛、抽搐、意识障碍等提示颅内感染的症状,但目前尚缺少新型冠状病毒具有神经侵袭性(直接侵袭神经细胞)的直接证据。我们报告1例COVID-19合并结核性脑膜炎,提醒同行当COVID-19确实合并颅内感染时,建议进行全面的病原体检查,特别是那些容易导致脑炎、脑膜炎的"常规的病原体"。COVID-19 is caused by a new coronavirus that infects the lungs.Although some patients with COVID-19 may be combined with neurological symptoms,there is no direct evidence that this new coronavirus can directly invade nerve system.A case of COVID-19 with tuberculous meningitis is reported to remind that when patients with COVID-19 present symptom of encephalitis or meningitis,a comprehensive pathogen examination is recommended.

关 键 词：新型冠状病毒肺炎 脑膜炎 结核性 诊断 

分 类 号：R563[医药卫生—呼吸系统]