论文部分内容阅读
Jacobson等报导一例持续高热,由B-(19)病毒引起的慢性疲劳综合征患者的诊治特点. 患者,女,18岁,1994年8月出现疲劳、关节痛疼、胃肠不适、皮肤斑丘疹,后因发热持续103°F、疲乏加重伴头痛、口腔溃疡、腹泻和体重减轻于11月住院。经全身CT检测,巨细胞病毒、EB病毒、莱姆病、链球菌、结核等血清和病原学诊断结果均阴性;仅细小病毒B_(19)血清检测出现IgM和IgG抗体阳性。1995年1月又对其进行了HIV抗体、类风湿因子、抗核抗体及巴尔通体病原检测,结果均阴性;但发热、关节疼、疲劳、昏睡、慢性贫血各症持续;3月份首次采
Jacobson et al. Reported on the diagnosis and treatment of a patient with chronic fatigue syndrome caused by B (19) virus who sustained high fever. The patient, female, aged 18 years old, developed fatigue, joint pain, gastrointestinal upset, , Followed by fever 103 ° F, fatigue increased with headache, mouth ulcers, diarrhea and weight loss in November hospitalization. Serum and etiological diagnosis results of cytomegalovirus, Epstein-Barr virus, Lyme disease, streptococcus, tuberculosis and so on were all negative by whole-body CT examination. IgM and IgG antibodies were detected only by parvovirus B 19 serum. In January of 1995, HIV antibody, rheumatoid factor, antinuclear antibody and Bartonella were tested again. The results were negative. However, fever, joint pain, fatigue, lethargy and chronic anemia continued. The first harvest in March