1例立克次体感染合并病毒性脑膜炎报告  

A case report of rickettsial infection combined with viral meningitis

作　　者：李蕾[1] 高爽[1] 覃诗源 王颖[1] LI Lei;GAO Shuang;QIN Shiyuan;WANG Ying(Department of Neurology,the Second Affiliated Hospital of Kunming Medical University,Kunming 650032,China)

机构地区：[1]昆明医科大学第二附属医院神经内科,650032

出　　处：《中国老年保健医学》2024年第3期141-144,共4页Chinese Journal of Geriatric Care

基　　金：昆明医科大学第二附属医院学术带头人(项目编号:RCTDXS-202301)。

摘　　要：由立克次体感染引起的,主要以发热、焦痂和皮疹为临床表现的感染性疾病称立克次体病。该病较少继发神经系统感染。本文报告1例患者以发热伴头痛及焦痂为首发症状,肥达试验阳性且多西环素治疗有效,考虑诊断为立克次体感染,并出现合并脑膜炎。通过对患者的病史病程、入院检验结果及疾病临床特点进行分析并结合文献查阅探讨立克次体感染的特点,提高临床医生对立克次体感染危害的认识,研究立克次体感染合并病毒性脑膜炎的临床表现和诊断特点,制定个性化有效治疗方案,帮助患者恢复健康。同时,提高医生对于不明原因发热且伴有头痛和焦痂患者的诊断水平并加强诊疗意识,从而避免临床漏诊和误诊。Rickettsial disease is an infectious disease caused by Rickettsial infection with fever,crust and rash as the main clinical manifestations,and less often secondary to neurological infections.In this report,we consider the diagnosis of rickettsial infection as a patient with fever with headache and crust as the first symptom,with a positive fiducial test and effective doxycycline treatment,and presenting with a patient with rickettsial infection combined with meningitis through the course of the patient's medical history.By analyzing the patient's history and disease duration,admission tests and clinical characteristics and combining them with literature review to explore the characteristics of rickettsial infections,to improve clinicians'understanding of the hazards of rickettsial infections,to study the clinical manifestations and diagnostic characteristics of rickettsial infections combined with viral meningitis,to formulate a personalized treatment plan,and to effectively help patients recover their health.At the same time,we will improve the diagnostic level and enhance the diagnostic awareness for patients with unexplained fever accompanied by headache and crusting,so as to avoid clinical omission and misdiagnosis.

关 键 词：病毒性脑膜炎 立克次体感染 多西环素 焦痂 发热 皮疹 

分 类 号：R516[医药卫生—内科学] R512.3[医药卫生—临床医学]