经过多年的医疗流浪,慢性巴贝斯虫病的诊断挽救了病人

Alexis LACOUT, Ahed ZEDAN, Christian PERRONNE
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引用次数: 0

摘要

这是一名36岁的免疫功能正常,未切除脾的女性患者,在可能的蜱叮咬后表现出“多态持续性综合征”(SPPT),这是法国卫生高级当局(HAS)正式认可的综合征。患者的症状包括严重的虚弱,神经和认知障碍(集中和记忆困难)和多态躯体体征(肌肉、关节和神经疼痛、盗汗、寒战等),这些症状已持续数年。巴贝斯虫血清学和PCR阳性。在最初症状加重后,联合治疗效果惊人。这个病人现在已经完全缓解好几年了
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After Years of Medical Wandering, A Diagnosis of Chronic Babesiosis Saves A Patient
This is the case of a 36-year-old immunocompetent, non-splenectomized female patient presenting with a "polymorphic persistent syndrome after a possible tick bite" (SPPT), a syndrome officially recognized by the French High Authority for health (HAS). The patient’s syndrome combined major asthenia, neurological and cognitive disorders (concentration and memory difficulties) and polymorphic somatic signs (muscular, joint and neurological pain, night sweats, chills, etc.) which had been evolving for several years. Babesia serology and PCR were positive. After an initial exacerbation of symptoms, a combined treatment was spectacularly effective. The patient has now been in complete remission for several years
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