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急性感染性多发性神经根炎(格林—巴利综合征)是一种免疫功能紊乱导致的急性炎症.它的特征是急性或亚急性起病,末梢感觉异常、无力以及肌肉疼痛,并由远而近逐渐发展,CSF有蛋白细胞分离现象.其确切病因尚不清楚.本文报导一例已经证实的表现为格林-巴利综合征的伤寒病.患者,男性26岁,因持续发热伴双下肢感觉异常三周入院.近期无预防接种、血清治疗或昆虫叮咬史;无接触化学物品,无热病或瘫痪病人接触史.患者一直住在郊外从未外出旅游,否认病前患过任何疾病.感觉异常及发热两周后出现双下肢无力,但无尿潴留或失禁.入院第1日发热达40.2℃,查体:心率90次/分,脾大;双腿均匀对称性软瘫,以致不能站立,下肢共济失调,本体感觉及震颤觉减退,腿甚于手.感觉异常达臂部,但尚能活动.颅神经
Acute Infectious Polyneuritis (Guillain-Barre Syndrome) is a type of acute inflammation caused by immune dysfunction and is characterized by acute or subacute onset, peripheral sensory abnormalities, weakness, and muscle pain, And the gradual development of CSF, there is a phenomenon of protein separation, the exact etiology is not clear.This article reports one case of proven typhoid fever of Guillain-Barre syndrome.Patients, male 26 years old, due to persistent fever with lower limbs feeling Abnormal three weeks hospitalization. No recent vaccination, serum treatment or insect bites history; no exposure to chemicals, no fever or paralyzed patients contact history. Patients have been living in the suburbs never travel, denied any pre-sick disease. Abnormal and fever after two weeks of weakness of both lower extremities, but no urine retention or incontinence. On the first day of admission fever 40.2 ℃, physical examination: heart rate 90 beats / min, splenomegaly; legs symmetrical symmetry of the soft paralysis, so can not stand , Lower extremity ataxia, proprioception and tremor feel diminished, legs more than hand, sensory abnormalities up to the arm, but still able to move.