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感染性多发性神经根炎(下称GBS)是临床较常见的神经系统疾病之一,多继发于各种急慢性感染。本文报告1例猩红热后同时继发GBS和急性肾小球肾炎(下称急肾)的患儿,现简述如下: 临床资料 12岁女孩,因发热2天皮疹1天血象高,以猩红热住传染科,经青霉素等治疗6天痊愈,体温正常,仅见皮肤粗糙,少许脱屑,发病1周后出现眼睑浮肿,尿中蛋白及红白细胞、颗粒管型,以急肾转儿科:查体中发现双手手握物无力,双下肢轻度跛行,蹲位时不能站起,膝反射左侧极弱,右侧消失,BP100/72mmHg,眼睑浮肿。追问病史自诉
Infectious polyneuritis (hereinafter referred to as GBS) is one of the more common clinical nervous system diseases, mostly secondary to various acute and chronic infections. This article reports 1 case of children with secondary GBS and acute glomerulonephritis (hereinafter referred to as acute kidney disease) after scarlet fever, are summarized as follows: Clinical data 12-year-old girl, 2 days due to fever rash 1 day high blood, scarlet fever live Department of Infectious Diseases, penicillin and other treatment for 6 days cured, normal body temperature, only see the rough skin, a little scaling, the onset of eyelid edema after 1 week, urinary protein and red and white cells, granular tube type, acute kidney transfer Pediatrics: physical examination Found hands weakness in both hands, mild lower limb lameness, squatting can not stand up, the left knee reflex very weak, right disappear, BP100 / 72mmHg, eyelid edema. Asked the history of private prosecution