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Encephalitis in a child during atypical course of rubella.

机译:风疹的非典型过程中儿童脑炎。

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Rubella is usually encountered as a mild viral illness in children and complications are not common. We reported rubella encephalitis in the atypical course of rubella without rash in a 9-year-old boy. He was admitted with a headache, fever, loss of consciousness and bilateral retroauricular lymphadenopathy. The cerebrospinal fluid (CSF) examination showed lymphocytic pleocytosis, increased protein levels and a normal glucose value. Immunoglobulin (Ig) M antibodies against rubella virus were positive in CSF and serum. IgG antibody also became positive in his serum 3 weeks after his admittance. We emphasized that rubella may appear without any rash and cause encephalitis. In unvaccinated children, rubella should be considered in the differential diagnosis of encephalitis.
机译:风疹通常在儿童中作为轻度病毒性疾病而遇到,并发症并不常见。我们在一个9岁男孩中报告了风疹非典型过程中的风疹脑炎,没有皮疹。他因头痛,发烧,神志不清和双侧耳后淋巴结肿大入院。脑脊液(CSF)检查显示淋巴细胞性细胞增多,蛋白质水平升高和血糖值正常。抗风疹病毒的免疫球蛋白(Ig)M抗体在CSF和血清中呈阳性。入院3周后,IgG抗体在血清中也呈阳性。我们强调风疹可能会出现而不会出现任何皮疹并引起脑炎。对于未接种疫苗的儿童,在脑炎的鉴别诊断中应考虑风疹。

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