散發型庫賈氏病及院內感染管制－一病例報告

Sporadic Creutzfeldt-Jakob Disease and Infection Control-A Case Report

郭建峰(Chen-Feng Kuo) ； 林雅如(Ya-Ru Lin) ； 李聰明(Chung-Ming Lee) ； 劉昌邦(Chang-Pan Liu) ； 曾祥洸(Xiang-Guang Zeng) ； 林慧瓊(Hwee-Kheng Lin)

《內科學誌》 16卷1期 (2005/02) Pp. 42-47

https://doi.org/10.6314/JIMT.2005.16(1).06

摘要

散發型庫賈氏病為一罕見的神經性退化性疾病，常見的臨床症狀有進行性失智，步態不穩，肌躍症等。本文報導一位七十二歲的女性，因血糖過高來住院，後來因意識漸漸變差，合併有全身痙孿的現象，才得知罹患此罕見的疾病。為此，我們還採取了一些特別的感染管制措施。在此我們回顧一些文獻，並提出關於此病的發生率、診斷，感染性、器械消毒及感染管制的討論，以提醒臨床醫師在診斷及後續處理上該注意的地方。

關鍵字

散發型庫賈氏病 ； 感染管制 ； 器械消毒

並列摘要

Sporadic Creutzfeldt-Jakob disease (sCJD) is a rare neurodegenerative disease. Its clinical symptoms includes rapidly progressive dementia, gait disturbance, and myoclonous etc. We report a 72-year-old woman admitting due to hyperglycemia. Later, evalation of progressive loss of consciousness and deterioration of mentality with myoclonus and generalized convulsion led to the discovery of such a rare disease. We reviewed the literature and discussed the incidence, diagnosis, infectivity, decontamination and infection control of sporadic Creutzfeldt-Jakob disease (CJD). The clinician should pay attention to it and know how to deal with after it was diagnosed.

並列關鍵字

Sporadic Creutzfeldt-Jakob disease ； Infection control ； Decontamination