摘要
Rickettsia conorii is endemic in the Mediterranean region. Infections are mos tly benign and neurological involvement is unusual. We describe a case of a man who presented with acute facial nerve palsy followed by flaccid tetraparesis due to an electrophysiologically established polyneuritis with distal conduction fa ilure. Elevated IgM antibody titres for R. conorii were documented by indirect i mmunofluorescent antibody test. After doxycycline therapy, the patient presented a rapid clinical improvement. Repeated electrophysiological examinations reveal ed significantly restored compound muscles, and sensory action potentials, corre sponding to the clinical course after treatment and ex juvantibus, indicate the causative relation between R. conorii infection and the described clinical syndr ome.
Rickettsia conorii is endemic in the Mediterranean region. Infections are mos tly benign and neurological involvement is unusual. We describe a case of a man who presented with acute facial nerve palsy followed by flaccid tetraparesis due to an electrophysiologically established polyneuritis with distal conduction fa ilure. Elevated IgM antibody titres for R. conorii were documented by indirect i mmunofluorescent antibody test. After doxycycline therapy, the patient presented a rapid clinical improvement. Repeated electrophysiological examinations reveal ed significantly restored compound muscles, and sensory action potentials, corre sponding to the clinical course after treatment and ex juvantibus, indicate the causative relation between R. conorii infection and the described clinical syndr ome.
出处
《世界核心医学期刊文摘（神经病学分册）》
2005年第10期41-41,共1页
Digest of the World Core Medical Journals:Clinical Neurology
