A sneeze, cough
The weather is cold
Especially in winter and spring
The high incidence time of cold
It's so common
Everyone has been accustomed to
However,
Someone almost couldn't save it because of a cold
How could a small cold be so scary?
50-year-old strong brother
A cold "falls down"?
"Who would have thought that a cold almost killed me."
In the Department of Neurology, , the Department of Neurology, the First Affiliated Hospital of Zhejiang University School of Medicine, Uncle Chen (pseudonym) who came to the re-examination, said with emotion. He was in good condition in the review, and he couldn't help but recall the crisis more than a month ago.
Uncle Chen, 50 years old this year, is engaged in vegetable sales business in Anji, Huzhou. With his hardworking hands, he bought a house and a car. He has been up early and late to do business all year round. Although he is busy, he has always been in good health.
A while ago, due to the cold and hot weather, Uncle Chen caught a cold and had a fever. After the nucleic acid test was negative, he didn't care and continued to be busy. "What are you afraid of when you have this little cold?"
However, a few days later, Uncle Chen not only did not improve his cold, but also talked nonsense. "After taking a nap at noon that day, I went to ask him to get up, but found that he was not normal, and he talked nonsense, as if he didn't know me, he wanted to scold me and push me," said Mrs. Chen. The frightened Mrs. Chen quickly asked her family to take Uncle Chen to the local hospital. After examination, she was considered viral encephalitis, so she was hospitalized for treatment.
After corresponding treatment, Uncle Chen's symptoms not only did not relieve, but his nonsense was getting worse. The local hospital also considered that Uncle Chen might suffer from a disease called "autoimmune encephalitis" (hereinafter referred to as autoimmune brain), but the relevant antibody test was negative, indicating that he did not have this disease.
Seeing that Uncle Chen’s condition became increasingly critical, with the help of local hospitals, Uncle Chen was urgently transferred to the Department of Neurology, the First Hospital of Zhejiang University.
It turns out that it is entangled by this disease
Cold is a major cause
Chief physician team sorted out Uncle Chen's condition and combined with the relevant examination results, they believed that it is indeed very similar to immune-related diseases, but the common autoimmune encephalitis antibodies are negative. What's going on? Experienced Chief Physician Liang Hui thought of a possibility - MOG antibody-related encephalitis, the symptoms of this encephalitis are very similar to those of the autoimmune brain.
So, the expert team improved the lumbar puncture, EEG , MOG antibody and other examinations for Uncle Chen, further eliminating the causes of inflammation, infection, metabolism, tumors, etc. Finally, it was found that Uncle Chen's blood and cerebrospinal fluid MOG antibodies were positive. Combined with other data, he was finally diagnosed with "MOG antibody-related encephalitis".
What is this disease that sounds very difficult to describe?
Why does Uncle Chen "ha"? What causes
?
MOG is the English abbreviation of myelin oligodendrocyte glycoprotein. It can be simply understood as a "group of workers" working normally in our brains. They were originally working "loyal" but were suddenly attacked by our human body's own immune system, so they "collapse", causing symptoms such as headaches, mental disorders, and .
Then why are they suddenly attacked?
To put it simply, our body's immune system is equivalent to a barrier. When foreign enemies invade, the immune system will be mobilized to attack the enemy. However, when these foreign enemies "disguised" and are very similar to our own substances, the immune system may also attack those original good substances, causing "inadvertent damage" when attacking them. MOG antibody-related encephalitis is what these foreign enemies "pretend to be" MOG.
Then how could Uncle Chen get this disease? Chief Physician Liang Hui told us that viral infections, immune diseases, etc. may cause MOG antibody-related encephalitis. Specifically for Uncle Chen’s condition, after a series of examinations and his medical history, he considered that it was because of that cold that caused MOG antibody-related encephalitis.
found the cause, and the expert team of neurology performed a series of comprehensive treatments for Uncle Chen, including hormones, neuroimmune adsorption, drugs, etc. Uncle Chen's condition improved quickly and he recovered and he was discharged from the hospital.
Small cold is so powerful?
Children should pay special attention to
"MOG antibody-related encephalitis is a central nervous system demyelinating disease proposed in recent years. It is easy to be misdiagnosed or misdiagnosed as viral encephalitis in clinical practice." Professor Luo Benyan, director of the Department of Neurology, said, "Although there is no clear incidence statistics on the disease, as experts tour, grassroots hospitals have gradually increased the understanding of the disease, and relevant reports in various places have gradually increased."
According to the current situation in various places, compared with adults, the disease is more likely to occur in teenagers and children, especially in winter, the temperature drops sharply. Children and children are weaker in and are more likely to catch colds than adults. In addition to this disease, if you are not careful about a cold, it may also develop into severe diseases such as viral encephalitis, autoimmune brain, myocarditis , pneumonia , pneumonia , and other severe diseases, threatening life safety.
Although a cold is really the most common minor illness, everyone should not take it lightly. The best way is to prevent it. Go to crowded places less, remember to wear a mask when going out, and wash your hands frequently. If you have a cold, you should still pay attention to rest more. Never rely on your youth or just a minor illness and you will still be very tired, which is likely to develop into other diseases.
(Zhejiang University First Hospital)
