先天性巨细胞病毒感染——一个过去、现在和未来的问题。

IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Bratislava Medical Journal-Bratislavske Lekarske Listy Pub Date : 2023-01-01 DOI:10.4149/BLL_2023_057
Ingrid Brucknerova, Dusan Dobos, Michal Dubovicky, Mojmir Mach, Eduard Ujhazy, Jana Brucknerova
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引用次数: 0

摘要

目的:分析2012年1月1日至2022年3月31日在新生儿重症医学科住院的11例先天性巨细胞病毒感染新生儿的产前产后特征、临床及实验室检查结果。结果:5、8例胎儿超声示脑组织钙化阳性;在患者6、9和11中,发现孤立的心室肿大。患者1和患者10的神经学检查均为临床阴性,其余患者均证实肌肉张力和自发活动的变化。在患者5和10中,耳声发射单侧阳性被证实。患者5确诊为双侧耳声发射阴性的绒毛膜视网膜炎。患者11的临床状况为并发肺炎。3例患者口服抗病毒药物治疗,11例新生儿静脉和口服联合治疗。结论:分析结果将有助于在全社会范围内采取预防措施。监测人群中巨细胞病毒感染的频率,并对人群进行教育,可以减少感染新生儿的数量(表4,文献29)。
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Congenital cytomegalovirus infection ‒ a problem of past, present and future.

Aim: To analyse prenatal and postnatal characteristics, clinical and laboratory findings, results of investigations in the group of 11 newborns with congenital CMV infection, who were hospitalized at Neonatal Department of Intensive Medicine between January 1st 2012 and March 31st, 2022 were included.

Results: Prenatal foetal sonography revealed in patients 5 and 8, positive calcifications in the brain; in patients 6, 9 and 11, isolated ventriculomegaly was found. Neurological examination was clinically negative in patients 1 and 10, changes of muscular tonicity and spontaneous activity were confirmed in the rest of the group. In patients 5 and 10, one-sided positivity of otoacoustic emissions was confirmed. Chorioretinitis with bilateral negative otoacoustic emissions was confirmed in patient 5. Clinical status of patient 11 was complicated by pneumonitis. Three patients were treated with antiviral drugs orally, and 11 newborns had a combination of intravenous and oral form of treatment.

Conclusion: The results of analysis will contribute to a society-wide solution of prevention. Monitoring of the frequency of CMV infection in the population with education of the population can decrease the number of affected newborns (Tab. 4, Ref. 29).

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来源期刊
CiteScore
2.60
自引率
0.00%
发文量
185
审稿时长
3-8 weeks
期刊介绍: The international biomedical journal - Bratislava Medical Journal – Bratislavske lekarske listy (Bratisl Lek Listy/Bratisl Med J) publishes peer-reviewed articles on all aspects of biomedical sciences, including experimental investigations with clear clinical relevance, original clinical studies and review articles.
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