КЛИНИЧЕСКИЙ СЛУЧАЙ COVID-19-АССОЦИИРОВАННОГО МЕНИНГОЭНЦЕФАЛИТА
Ключевые слова:
COVID-19, коронавирусная нфекция, менингоэнцефалит, неврологические симптомы, SARS-CoV-2, дети.Аннотация
Введение. В 2019 году мир столкнулся с ранее неизученной инфекцией, одним за другим пандемия охватывала города, страны и за считанные месяцы поглотила весь мир. С момента первых сообщений об инфекции SARS-CoV-2 было опубликовано множество исследований, касающихся эпидемиологических аспектов COVID-19, включая клинические проявления и исходы. Большинство этих исследований были сосредоточены на респираторных осложнени-ях. Однако недавние результаты выявили системное влияние вируса, в том числе его потенциальное воздействие на нервную систему.
Цель исследования. Описание клинического проявления неврологических осложненный инфекции COVID-19 у ребенка.
Материал и методы. Клиническое неврологическое исследование, нейровизуализация (МРТ головного мозга), вирусологическое исследование методом иммуно-ферментного анализа.
Результаты. По результатам комплексного исследования выставлен диагноз: Органическое поражение головного мозга, как следствие нейроинфекции (сочетанная с ВЭБ+КВИ), с мультифокальными очагами энцефалита, в том числе множественными сосудистыми тромбозами и тромбозом сагиттального синуса в сочетании с ПВЛ. Псевдобульбарный синдром. Грубый синдром дистонии. Локализованная симптоматическая эпилепсия. Частичная атрофия зрительного нерва обоих глаз.
Обсуждение результатов. Не мало говорится о том что, COVID-19 вызывает тяжелые осложнения не только со стороны нервной системы, но и внутренних органов, сосудов и других жизненно важных систем. В Казахстане, так же как и в других странах неврологические осложнения COVID-19 находятся на стадии набора данных и изучения. Врачи разных стран признают что COVID-19 это не только респираторная инфекция, но и мультисистемное заболевание, в виду чего на практике можно столкнуться с его разнообразными последствиями. Один из таких случаев это данный ребенок у которого превалируют тяжелые осложнения, вплоть до необходимости решить вопрос о паллиативной помощи.
Выводы. Учитывая все данные, в том числе анатомо-физиологические особенности ЦНС детей раннего возраста, не исключается склонность к массивным воспалительным реакциям тканей головного мозга и быстрое прогрессирование процесса.
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