[Etiology of infectious diseases in the central nervous system].

Jun-long Yu, Shui-ping Liu, Min-hua Luo
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Abstract

Objective: To determine the etiological characteristics of infectious diseases in the central neural system (CNS).

Methods: The serum and cerebral spinal fluid of acute patients in the CNS were detected for virus-specific IgM, IgG and pathogens with enzyme-linked immunosorbent assay as well as traditional bacterial and fungal culture.

Results: Of the 823 patients, 126 (15.3%) patients were positive herpes simplex virus (HSV)-specific IgM and/or IgG, of which the maximum morbidity was under 10 years; 10(1.2%) were positive cytomegalovirus specific IgM and/or IgG; 8 (0.97%) were positive varicella-zoster virus specific IgM and/or IgG; 7 (0.85%) were diagnosed as tubercular meningitis; 6 (0.72%) as cryptocococes meningitis and 1 (0.12%) as meningococcic meningitis.

Conclusion: Viruses, especially herpes simplex viruses are the common causative agents of infectious diseases of the CNS, in which mycobacterium tuberculosis and cryptocococcus neoformans are conspicuous.

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[中枢神经系统传染病的病因学]。
目的:探讨中枢神经系统(CNS)感染性疾病的病原学特点。方法:采用酶联免疫吸附法检测急性中枢神经系统患者血清和脑脊液中病毒特异性IgM、IgG和病原体,并进行传统的细菌和真菌培养。结果:823例患者中,单纯疱疹病毒(HSV)特异性IgM和/或IgG阳性126例(15.3%),其中发病年龄在10岁以下者最多;巨细胞病毒特异性IgM和/或IgG阳性10例(1.2%);水痘-带状疱疹病毒特异性IgM和/或IgG阳性8例(0.97%);诊断为结核性脑膜炎7例(0.85%);隐球菌性脑膜炎6例(0.72%),脑膜炎球菌性脑膜炎1例(0.12%)。结论:病毒,尤其是单纯疱疹病毒是引起中枢神经系统感染性疾病的常见病原体,其中以结核分枝杆菌和新生隐球菌最为显著。
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