[重症乙型流感合并横纹肌溶解和急性呼吸衰竭导致死亡]。

Q3 Medicine Klinicka mikrobiologie a infekcni lekarstvi Pub Date : 2018-12-01
Jiří Sagan, Petr Širůček, Pavel Folwarczny, Marie Sporková, Pavel Hurník
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引用次数: 0

摘要

流感是一种急性病毒性疾病,可引起甲型、乙型和丙型流感。临床上,流感的典型特征是发烧和呼吸道症状,有时需要机械通气,较少出现胃肠道症状和肌肉问题;严重的病例累及中枢神经系统。流感最常见的并发症是继发性细菌感染,通常是肺炎,最常见的是由肺炎球菌和葡萄球菌引起的。每年,成千上万的病人死于流感或其并发症。在捷克共和国,即摩拉维亚-西里西亚地区,乙型流感病毒主导了2017/2018年流感季节。本文报告一例51岁男性,以乙型流感为病因,迅速进展性肌肉无力,实验室检查显示横纹肌溶解,肌肉酶和转氨酶显著升高,导致急性呼吸衰竭和死亡。
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[Severe course of influenza B complicated by rhabdomyolysis and acute respiratory failure resulting in death].

Influenza is an acute viral disease that causes influenza A, B, C. Clinically, flu is typically characterized by fever and respiratory symptoms, sometimes with the need for mechanical ventilation, less frequently by gastrointestinal symptoms and muscle problems; severe are cases with central nervous system involvement. The most common complication of influenza is secondary bacterial infection, typically pneumonia, which is most frequently caused by pneumococci and staphylococci. Every year, thousands of patients die of influenza or its complications. In the Czech Republic, namely the Moravian-Silesian Region, influenza B virus dominated the 2017/2018 flu season. Presented is a case of a 51-year-old male with influenza B as an etiologic agent of rapidly progressing muscle weakness and laboratory tests showing rhabdomyolysis and significantly elevated muscle enzyme and aminotransferase, resulting in acute respiratory failure and death.

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来源期刊
Klinicka mikrobiologie a infekcni lekarstvi
Klinicka mikrobiologie a infekcni lekarstvi Medicine-Infectious Diseases
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