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巨细胞病毒。一种引起严重疾病的常见病毒。

Cytomegalovirus. A common virus causing serious disease.

作者信息

Rawlinson William, Scott Gillian

机构信息

South Eastern Sydney Area Health Service, Prince of Wales Hospital, Sydney Children's Hospital, Royal Hospital for Women, Faculties of Medicine and Science, University of New South Wales.

出版信息

Aust Fam Physician. 2003 Oct;32(10):789-93.

Abstract

BACKGROUND

Human cytomegalovirus (CMV) is a herpes virus that causes severe illness and death in people whose immune systems are compromised, including organ and bone marrow transplant recipients, HIV infected people, those on immunosuppressive drugs and newborns infected during pregnancy.

OBJECTIVE

This article aims to present a clear guide to diagnosis and treatment of CMV in at risk patients in the community.

DISCUSSION

Cytomegalovirus is a common infection in the community, but diagnosis is often seen as difficult. The use of careful clinical assessment tests and a clear diagnostic algorithm can provide appropriate diagnosis in most immunocompromised patients, pregnant women and newborns with CMV. Treatment strategies and available antivirals are improving, complementing the advances made with diagnostic techniques and algorithms.

摘要

背景

人巨细胞病毒(CMV)是一种疱疹病毒,可导致免疫系统受损人群出现严重疾病甚至死亡,这些人群包括器官和骨髓移植受者、HIV感染者、服用免疫抑制药物者以及孕期感染的新生儿。

目的

本文旨在为社区中高危患者的CMV诊断和治疗提供清晰的指导。

讨论

巨细胞病毒在社区中是一种常见感染,但诊断通常被认为具有难度。运用细致的临床评估检测和清晰的诊断算法,能够为大多数免疫功能低下的患者、孕妇及患有CMV的新生儿提供恰当的诊断。治疗策略和现有的抗病毒药物正在不断改进,与诊断技术和算法方面取得的进展相辅相成。

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