妊娠期无菌性脑膜炎-一个详细描述潜在诊断困境的案例研究

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Journal of Clinical Obstetrics and Gynecology Pub Date : 2023-06-14 DOI:10.29328/journal.cjog.1001130
NG Yan Shun, Goh Marlene Samantha Sze Minn, Mathur Manisha
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引用次数: 0

摘要

妊娠期脑膜炎的报告病例很少,每个患者的表现可能各不相同,这可能导致诊断困难和潜在的治疗延误。在这里,我们讨论一例无菌性脑膜炎——一位36岁的妊娠2期儿科医生,在妊娠31+5周时出现了“她一生中最严重的头痛”。在就诊时,她没有任何典型的脑膜炎三联征(发烧、颈部僵硬和/或精神状态改变),也未报告任何神经系统症状。鉴于持续头痛、发热和畏光症状的发展,她被转介给神经病学专家,并进行了腰椎穿刺。结果与脑膜炎一致,聚合酶链反应证实为肠病毒脑膜炎。尽管无菌性脑膜炎是罕见的,但对于持续主诊、出现发热、畏光和颈部疼痛等相关症状的患者,以及暴露于病毒性疾病风险增加的患者,应将其视为鉴别诊断。
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Aseptic Meningitis in Pregnancy – A Case Study Detailing Potential Diagnostic Dilemmas
There are few reported cases of meningitis in pregnancy and presentation can be variable in each patient which may cause diagnostic challenges and potential delays in treatment. Here, we discuss a case of aseptic meningitis - a 36 years old Gravida 2 Para 1 pediatric physician with “the worst headache of her life” at 31+5 weeks of gestation. At presentation, she did not have any of the classic triads of meningitis (fever, neck stiffness, and/or a change in mental status) and did not report any neurological symptoms. In view of persistent headache, development of pyrexia, and evolving symptoms of photophobia, she was referred to a neurology specialist, and a lumbar puncture was performed. Findings were in line with meningitis and the polymerase chain reaction confirmed enterovirus meningitis. Although aseptic meningitis is rare, it should be considered as a differential diagnosis in patients with persistent complaints, development of associated symptoms of pyrexia, photophobia, and neck pain, as well as in patients with increased risk of exposure to viral illnesses.
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来源期刊
Journal of Clinical Obstetrics and Gynecology
Journal of Clinical Obstetrics and Gynecology Medicine-Obstetrics and Gynecology
CiteScore
0.30
自引率
0.00%
发文量
8
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