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宫内感染后亚急性硬化性全脑炎

Subacute sclerosing panencephalitis after intrauterine infection.

作者信息

Dasopoulou M, Covanis A

机构信息

Neonatal Department, Alexandra Hospital, Athens, Greece.

出版信息

Acta Paediatr. 2004 Sep;93(9):1251-3. doi: 10.1080/08035250410017752.

Abstract

UNLABELLED

Subacute sclerosing panencephalitis (SSPE), in the majority of cases, is caused by the wild measles virus, although there are some reports relating SSPE to vaccination. This paper presents an inborn that was infected during pregnancy by the measles virus and developed SSPE within the first year of life after a short incubation period. He progressed rapidly after a mild arrest with treatment. Subacute sclerosing panencephalitis is a fatal degenerative disease and, although it had largely disappeared because of nearly universal measles vaccination, it still remains a serious infection among children affected by human immunodeficiency virus (HIV). The lack of newer cases of SSPE occurring among normal children nowadays should not wane alertness by obstetricians and paediatricians, to recognize the risk with measles during pregnancy and the need for prevention and recognition of SSPE at an early stage. Although some references exist which report on SSPE cases related to vaccination, new work weakens the possible links between measles vaccine and SSPE.

CONCLUSION

This report would like to stress the importance and success of reducing the SSPE problem with the aid of general measles vaccination with high coverage.

摘要

摘要

亚急性硬化性全脑炎(SSPE)在大多数情况下由野生麻疹病毒引起,尽管有一些报告将SSPE与疫苗接种相关联。本文介绍了一名在孕期感染麻疹病毒的婴儿,在短潜伏期后于出生后第一年内患上SSPE。经治疗,在轻度病情停滞之后,他病情迅速进展。亚急性硬化性全脑炎是一种致命的退行性疾病,尽管由于麻疹疫苗几乎普遍接种,它已基本消失,但在受人类免疫缺陷病毒(HIV)感染的儿童中,它仍然是一种严重感染。如今正常儿童中缺乏新的SSPE病例不应削弱产科医生和儿科医生的警惕性,即认识到孕期麻疹的风险以及早期预防和识别SSPE的必要性。尽管有一些参考文献报道了与疫苗接种相关的SSPE病例,但新的研究削弱了麻疹疫苗与SSPE之间可能存在的联系。

结论

本报告强调通过高覆盖率的常规麻疹疫苗接种减少SSPE问题的重要性和成效。

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