急性麻疹病毒感染易致乳突炎并发面瘫和颈部脓肿:病理机制和诊断方法的综述

IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL AIMS Medical Science Pub Date : 2020-01-01 DOI:10.3934/medsci.2020016
A. I. Kabuga, Y. A. Hassan, Muhammad Ibrahim Getso
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引用次数: 0

摘要

尽管有安全、可靠和具有成本效益的麻疹疫苗,但我们继续经历可怕的麻疹暴发,造成毁灭性的多系统并发症,特别是在儿科年龄组。在大多数情况下,并发症是由于就诊时间过晚或没有及时接受适当治疗而引起的。随着麻疹病毒和细菌在中耳共存,化脓性中耳炎可累及乳突,并引起致命的并发症,当患者处于可怕的状态时,这些并发症会在晚期表现出来。这篇简短的综述强调了急性麻疹病毒感染后导致乳突炎、面瘫和颈部脓肿的致病机制,并概述了一些有用的诊断提示。在这篇综述中,我们检索了国际电子数据库(PubMed、Web of Science和Embase)和Google Scholar,以获取关于急性麻疹感染并发症的文章。关键词为“乳突炎”、“乳突腔”、“中耳”、“中耳炎”、“Bezold 's脓肿”、“面瘫”,并伴有“OR”操作;”和“麻疹;仅限于英语语言。此外,我们在当地临床和病毒学期刊数据库中检索了类似的信息。之后,我们回顾了这些出版物,并定性地描述了研究结果。
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Acute infection with measles virus predisposes to mastoiditis with concomitant facial paralysis and neck abscess: A minireview of pathomechanism and diagnostic approach
Despite the availability of safe, reliable, and cost-effective measles vaccine, we continue to experience dreadful measles outbreaks with devastating multisystem complications, especially in the pediatric age group. In most instances, the complications arise from a late presentation or delayed institution of appropriate care. With co-existence of measles virus and bacteria in the middle ear, suppurative otitis media can involve the mastoid process and causes fatal complications that manifest late when the patient is in a dire state. This short review highlights the pathogenic mechanisms leading to mastoiditis, facial paralysis, and neck abscess following acute infection with the measles virus, and outlines some useful diagnostic tips. In this review, we searched the international electronic database (PubMed, Web of Science, and Embase) and Google Scholar for articles published on complications of acute measles infection. The keywords used were “mastoiditis”, “mastoid antrum”, “middle ear”, “otitis media”, “Bezold’s abscess”, “facial paralysis” with an operator “OR”; “AND” measles; with restriction to the English language. Also, we searched for similar information in the local clinical and virology journals databases. Thereafter, we reviewed the publications and we described the findings qualitatively.
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来源期刊
AIMS Medical Science
AIMS Medical Science MEDICINE, RESEARCH & EXPERIMENTAL-
自引率
14.30%
发文量
20
审稿时长
12 weeks
期刊最新文献
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