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Analysis of epidemiological and clinical characteristics of 1247 cases of infectious diseases of the central nervous system
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Jia-Hua Zhao1, Yu-Ying Cen1, Xiao-Jiao Xu1, Fei Yang2, Xing-Wen Zhang2, Zhao Dong2, Ruo-Zhuo Liu2, De-Hui Huang2, Rong-Tai Cui2, Xiang-Qing Wang2, Cheng-Lin Tian2, Xu-Sheng Huang2, Sheng-Yuan Yu2, Jia-Tang Zhang2, *
Medical Journal of Chinese People’s Liberation Army | 2024, 49(1) : 43 - 49
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Medical Journal of Chinese People’s Liberation Army | 2024, 49(1): 43-49
Clinical Research
Analysis of epidemiological and clinical characteristics of 1247 cases of infectious diseases of the central nervous system
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Jia-Hua Zhao1, Yu-Ying Cen1, Xiao-Jiao Xu1, Fei Yang2, Xing-Wen Zhang2, Zhao Dong2, Ruo-Zhuo Liu2, De-Hui Huang2, Rong-Tai Cui2, Xiang-Qing Wang2, Cheng-Lin Tian2, Xu-Sheng Huang2, Sheng-Yuan Yu2, Jia-Tang Zhang2, *
Affiliations
  • 1 Graduate School, Medical School of Chinese PLA, Beijing 100853, China
  • 2 Department of Neurology, the First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
Published: 2024-01-28 doi: 10.11855/j.issn.0577-7402.2453.2023.0417
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Objective To summarize the epidemiological and clinical features of infectious diseases of the central nervous system (CNS) by a single-center analysis. Methods A retrospective analysis was conducted on the data of 1247 cases of CNS infectious diseases diagnosed and treated in the First Medical Center of PLA General Hospital from 2001 to 2020. Results The data for this group of CNS infectious diseases by disease type in descending order of number of cases were viruses 743(59.6%), Mycobacterium tuberculosis 249(20.0%), other bacteria 150(12.0%), fungi 68(5.5%), parasites 18(1.4%), Treponema pallidum 18(1.4%) and rickettsia 1(0.1%). The number of cases increased by 177 cases (33.1%) in the latter 10 years compared to the previous 10 years (P<0.05). No significant difference in seasonal distribution pattern of data between disease types (P>0.05). Male to female ratio is 1.87︰1, mostly under 60 years of age.Viruses are more likely to infect students, most often at university/college level and above, farmers are overrepresented among bacteria and Mycobacterium tuberculosis, and more infections of Treponema pallidum in workers. CNS infectious diseases are characterized by fever, headache and signs of meningeal irritation, with the adductor nerve being the more commonly involved cranial nerve. Matagenomic next-generation sequencing improves clinical diagnostic capabilities. The median hospital days for CNS infectious diseases are 18.00(11.00, 27.00) and median hospital costs are ¥29,500(¥16,000, ¥59,200). The mortality rate from CNS infectious diseases is 1.6%. Conclusions The incidence of CNS infectious diseases is increasing last ten years, with complex clinical presentation, severe symptoms and poor prognosis. Early and accurate diagnosis and standardized clinical treatment can significantly reduce the morbidity and mortality rate and ease the burden of disease.

central nervous system  /  infectious disease  /  epidemiology  /  clinical characteristics
Jia-Hua Zhao, Yu-Ying Cen, Xiao-Jiao Xu, Fei Yang, Xing-Wen Zhang, Zhao Dong, Ruo-Zhuo Liu, De-Hui Huang, Rong-Tai Cui, Xiang-Qing Wang, Cheng-Lin Tian, Xu-Sheng Huang, Sheng-Yuan Yu, Jia-Tang Zhang. Analysis of epidemiological and clinical characteristics of 1247 cases of infectious diseases of the central nervous system[J]. Medical Journal of Chinese People’s Liberation Army, 2024 , 49 (1) : 43 -49 . DOI: 10.11855/j.issn.0577-7402.2453.2023.0417
  • National Key Research and Development Program of China(2020YFC2005403)
Year 2024 volume 49 Issue 1
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Article Info
doi: 10.11855/j.issn.0577-7402.2453.2023.0417
  • Receive Date:2022-11-23
  • Online Date:2025-11-23
  • Published:2024-01-28
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History
  • Received:2022-11-23
  • Accepted:2023-03-20
Funding
National Key Research and Development Program of China(2020YFC2005403)
Affiliations
    1 Graduate School, Medical School of Chinese PLA, Beijing 100853, China
    2 Department of Neurology, the First Medical Center of Chinese PLA General Hospital, Beijing 100853, China

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表12种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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