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背景:Sydenham舞蹈病(SC)是β溶血性链球菌(BHS)感染后出现的一种典型的锥体外系运动障碍。最近关于链球菌感染后出现的其他运动障碍已被报道,其中包括运动抽搐和张力障碍。与之相关的情绪与行为改变均具有特征性。目的:对1999-2002年于三级转诊中心就诊的链球菌感染后患儿所出现的运动障碍及与之相关的精神异常进行描述。方法:所有患儿在咽部BHS感染后都出现了运动障碍。通过对咽部分泌物进行细菌培养或链球菌血清学检查确定BHS感染。应用国际标准对患儿的运动障碍进行分级,并由经验丰富的
BACKGROUND: Sydenham chorea (SC) is a classic extrapyramidal motor disorder that occurs after infection with β-hemolytic streptococcus (BHS). Other recent dyskinesias following streptococcal infection have been reported, including motor twitching and dystonia. Related changes in mood and behavior are characteristic. OBJECTIVE: To describe the dyskinesia in children with streptococcal infection at the tertiary referral center from 1999 to 2002 and the related mental disorders. METHODS: All children developed dyskinesia after pharyngeal BHS infection. BHS infection was confirmed by bacterial culture or streptococcal serological examination of pharyngeal secretions. Application of international standards for children with dyskinesia grading, and experienced