급성 이완성 마비 증상을 보인 엔테로바이러스 71 감염
A Case of Enterovirus 71 Infection Presented with Acute Flaccid Paralysis
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초록
수족구병은 손, 발 및 구강 내 특징적 피부 병변을 보이며 대부분 1주일 내에 저절로 호전되는 질환이지만, EV71 감염으로 인한 수족구병의 경우에는 뇌간 뇌염, 급성 이완성 마비, 뇌수막염 등의 신경학적 합병증이 발생할 수 있으며, 일부에서는 심폐 부전으로 사망에까지 이를 수 있다. 저자들은 18개월 여아에서 수족구병과 동반하여 우측 하지의 급성 이완성 마비 증상을 보인 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Hand-foot-mouth disease (HFMD) is characterized by distinctive skin lesions on the hand, foot, and mouth and in general, recovery occurs within one week. However, in cases of HFMD by enterovirus 71 (EV71) infection, the development of neurologic complications such as brainstem encephalitis, acute flaccid paralysis, and aseptic meningitis has been common. Moreover, it has been reported that some patients with neuologic complications have expired in severe cases. Here, we report a case of EV71 infection presented with acute flaccid paralysis of a single similar to paralytic poliomyelitis.
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