Lashkevich V A, Koroleva G A, Lukashev A N, Denisova E V, Katargina L A, Khoroshilova-Maslova I P
Vopr Virusol. 2005 May-Jun;50(3):36-45.
Enterovirus uveitis (EU) is a new infant eye disease that was first detected and identified in Russia in 1980-1981. Three subtypes of human echoviruses (EV19K, EV11A, and EV11/B) caused 5 nosocomial outbreaks of EU in different Siberian cities and towns in 1980-1989, by affecting more than 750 children mainly below one year of age. Sporadic and focal EU cases (more than 200) were also retrospectively diagnosed in other regions of Russia and in different countries of the former Soviet Union. There were following clinical manifestations: common symptoms of the infection; acute uveitis (rapid focal iridic destruction, pupillary deformities, formation of membranes in the anterior chamber of the eye); and in 15-30% of cases severe complications, cataract, glaucoma, vision impairments. Uveitis strains EV19 and EV11 caused significant uveitis in primates after inoculation into the anterior chamber of the eye, as well as sepsis-like fatal disease with liver necrosis after venous infection. The uveitis strains are phylogenetically and pathogenetically close for primates to strains EV19 and EV11 isolated from young children with sepsis-like disease. The contents of this review have been published in the Reviews in Medical Virology, 2004, vol. 14, p. 241-254.
肠道病毒葡萄膜炎(EU)是一种新的婴幼儿眼部疾病,于1980 - 1981年在俄罗斯首次被检测和识别。1980 - 1989年期间,人类埃可病毒的三个亚型(EV19K、EV11A和EV11/B)在西伯利亚不同城镇引发了5起医院内EU暴发,主要影响了750多名一岁以下儿童。俄罗斯其他地区以及前苏联不同国家也回顾性诊断出散发性和局灶性EU病例(超过200例)。临床表现如下:感染的常见症状;急性葡萄膜炎(快速的局灶性虹膜破坏、瞳孔畸形、眼前房形成膜);15% - 30%的病例出现严重并发症,如白内障、青光眼、视力损害。葡萄膜炎毒株EV19和EV11接种到眼前房后在灵长类动物中引起了显著的葡萄膜炎,静脉感染后还导致了伴有肝坏死的败血症样致命疾病。对于灵长类动物而言,葡萄膜炎毒株在系统发育和发病机制上与从患有败血症样疾病的幼儿中分离出的EV19和EV11毒株密切相关。本综述的内容已发表于《医学病毒学评论》,2004年,第14卷,第241 - 254页。