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首页> 外文期刊>Cureus. >All the More Reason to Get a Flu Shot: An Instance of Acute Hemorrhagic Leukoencephalitis in a Patient With Influenza A
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All the More Reason to Get a Flu Shot: An Instance of Acute Hemorrhagic Leukoencephalitis in a Patient With Influenza A

机译：获得流感疫苗的所有原因

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摘要

Acute hemorrhagic leukoencephalitis (AHLE) is a rare demyelinating disease of the central nervous system that typically follows a viral or bacterial respiratory infection. We report the first described case of AHLE following influenza A (H3N2)?in an otherwise healthy 15-year-old girl with no relevant past medical history who initially presented to the emergency department (ED) by emergency medical services?(EMS) with decorticate posturing and right gaze deviation after being found unresponsive at home. Subsequent testing for Influenza A H3N2 via viral polymerase chain reaction?(PCR) was positive. Clinical correlation and brain MRI confirmed AHLE. At follow-up three months after discharge, she was found to have intellectual functioning in the extremely low range and she still had deficits in motor skills eight months after discharge. While the patient was reportedly up-to-date on her routine scheduled childhood vaccinations, she had not received her annual influenza vaccination that year. Pediatric infectious disease physicians and neurologists should consider the diagnosis of AHLE in unvaccinated, previously healthy patients with new and rapid onset of neurological symptoms following influenza infection.
机译：急性出血性白细胞炎（AHLE）是中枢神经系统的罕见脱髓鞘疾病，通常遵循病毒或细菌呼吸道感染。我们向流感A（H3N2）之后的第一个描述的Ahle案例报告了（H3N2）？在一个健康的15岁女孩，没有任何过去医学史，最初由紧急医疗服务呈现给急诊部门（ED）？（EMS）在家里发现没有反应后，掀起左缘和右凝视偏差。随后通过病毒聚合酶链式反应进行流感H3N2的测试α（PCR）是阳性的。临床关联和脑MRI确认曝光。在出院后三个月后，她被发现在极低的范围内具有智力运作，并且在出院后八个月仍然在电机技能中缺乏赤字。据报道，虽然据报道，患者在她的常规预定的儿童接种疫苗上，但她没有收到她的年度流感疫苗接种。儿科传染病医生和神经科医生应考虑在流感感染后患有未接种疫苗，以前健康的患者的曝气患者的诊断。

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