COXIELLA (Q-FEVER)-ASSOCIATED MYELOPATHY

被引:7
作者
HWANG, YM
LEE, MC
SUH, DC
LEE, WY
机构
[1] YONSEI UNIV,COLL MED,DEPT MICROBIOL,SEOUL,SOUTH KOREA
[2] ULSAN UNIV,ASAN MED CTR,DEPT RADIOL,SEOUL 134600,SOUTH KOREA
关键词
D O I
10.1212/WNL.43.2.338
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We describe six men with a slowly progressive myelopathy characterized by asymmetric, incomplete spinal cord syndrome manifested with a thoracic sensory level, mild spastic paraparesis, and urinary incontinence. The spinal cord lesions were evident by MRI in four of them. Coxiella burnetii infection was confirmed in the blood of all patients by immunofluorescence microscopic assay (IFA) and transmission electron microscopy (TEM). In two patients, we detected C burnetii by TEM and IFA using CSF from the patients inoculated onto fresh peripheral blood lymphocyte. Four patients, treated with appropriate antibiotics, responded either with partial resolution of symptoms or arrest of further neurologic progression. In three, the MRI lesions decreased in size.
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页码:338 / 342
页数:5
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