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本文报告患者为21岁男性西非黑人,因突发间歇性发热和呕吐入院。体检示轻度肝脾肿大和颈部淋巴结大,血液检查:血沉快,血红蛋白低,血清总蛋白高,β/γ球蛋白比值增高,血清IgG、IgM增高,冷凝集素阳性,CPK、LDH增高。多种病原体检测阴性。入院后2天,病人出现双耳听力障碍。神经系统检查除双耳显著的感音(神经)性听力减退外,其余均正常。脑干听觉诱发电位示耳蜗神经病变;冷热水试验呈对称性反应减低,提示前庭神经亦受累。视觉及体感诱发电位,脑和脊髓的CT及MRI检查正
This article reports that a 21-year-old male West African black was hospitalized for intermittent fever and vomiting. Physical examination showed mild hepatosplenomegaly and cervical lymph nodes, blood tests: fast erythrocyte sedimentation rate, low hemoglobin, high total serum protein, high beta / gamma globulin ratio, elevated serum IgG and IgM, positive cold agglutinin, elevated CPK and LDH . A variety of pathogenic negative. Two days after admission, the patient developed binaural hearing impairment. Nervous system examination except for binaural significant sensory (neurological) hearing loss, the rest are normal. Brainstem auditory evoked potentials showed cochlear neuropathy; cold water test showed a symmetrical response decreased, suggesting that the vestibular nerve is also involved. Visual and somatosensory evoked potential, brain and spinal cord CT and MRI positive