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许多印第安那或新泽西血清型水泡性口腔典病毒(vesicular stomatitis virus, VSV)人类疾患皆因实验室意外感染,或者发生于与患水泡性口膜炎的牛、马直接接触的兽医或牲畜经营者。本文报告1例由于印第安那VSV自然感染所致脑膜脑炎。患儿3岁,女性。因发热、畏寒、呕吐及全身阵挛性抽搐7h入院。过去曾因拟似发热抽搐及肾炎2次住院。入院时体温37.4℃,除嗜睡、火水、扁桃腺炎外,其余正常。WBC 13800/mm~3。入院后最初48h体温37.2～38.8℃。第4天突然定向力障碍,全身肌肉痉挛和四肢活动异常,转入巴拿马儿童医院。
Many human disorders of the serotype vesicular stomatitis virus (VSV) in Indiana or New Jersey are caused by accidental laboratory infections or occur in veterinarians or livestock operators who are in direct contact with cattle and horses suffering from vesicular stomatitis . This article reports 1 case of meningoencephalitis due to natural infection with Indiana VSV. Children 3 years old, female. Due to fever, chills, vomiting and general clonic convulsions 7h admission. In the past due to the proposed fever convulsions and nephritis 2 hospitalization. Body temperature 37.4 ℃ admission, except lethargy, fire water, tonsillitis, the rest of the normal. WBC 13800 / mm ~ 3. The first 48h after admission temperature 37.2 ~ 38.8 ℃. Day 4 sudden disability, generalized muscle spasms and abnormal limbs, transferred to the Panama Children’s Hospital.