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伴有内脏受累的严重出血性水痘:阿糖胞苷治疗期间的病毒学和血清学研究

Severe hemorrhagic varicella with visceral involvement: virological and serological studies during treatment with cytosine arabinoside.

作者信息

Niederhoff H, Luthardt T, Wehinger H

出版信息

Infection. 1976;4(2):90-3. doi: 10.1007/BF01638723.

DOI:10.1007/BF01638723
PMID:181329
Abstract

A boy 13 year-old suffered an extremely severe and prolonged attack of hemorrhagic chickenpox with visceral involvement, the diagnosis being confirmed by isolation of varicella-zoster-virus (VZV). There was no other compromising disease. All preceding vaccinations including two against smallpox had been uneventful. The severity of the attack could not be ascribed to any persistent cellular or humoral immunodeficiency. The patient developed a good antibody response. The course of serological reactions to VZV infection was studied extensively using the different techniques of complement fixation and immunofluorescence for IgG, IgM, and IgA antibodies. Therapy was conducted cautiously using cytosine arabinoside (Ara-C) between the 10th and 17th day of disease; the temperature fell and VZV multiplication ceased, strongly suggesting a beneficial influence on the patient, who recovered completely.

摘要

一名13岁男孩患了极其严重且持续时间长的出血性水痘,并累及内脏,通过分离水痘-带状疱疹病毒(VZV)确诊。无其他并存疾病。之前包括两次天花疫苗接种在内的所有疫苗接种均顺利。此次发作的严重程度不能归因于任何持续性细胞或体液免疫缺陷。患者产生了良好的抗体反应。使用补体结合及免疫荧光检测IgG、IgM和IgA抗体的不同技术,广泛研究了对VZV感染的血清学反应过程。在病程第10天至第17天谨慎使用阿糖胞苷(Ara-C)进行治疗;体温下降,VZV增殖停止,有力地表明对患者有有益影响,患者完全康复。

相似文献

1
Severe hemorrhagic varicella with visceral involvement: virological and serological studies during treatment with cytosine arabinoside.伴有内脏受累的严重出血性水痘:阿糖胞苷治疗期间的病毒学和血清学研究
Infection. 1976;4(2):90-3. doi: 10.1007/BF01638723.
2
Treatment of varicella-zoster with cytosine arabinoside.用阿糖胞苷治疗水痘 - 带状疱疹。
Trans Assoc Am Physicians. 1969;82:201-10.
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A case report of varicella-zoster virus infection associated glomerulonephritis and encephalitis.一例水痘-带状疱疹病毒感染相关肾小球肾炎和脑炎的病例报告。
Beijing Da Xue Xue Bao Yi Xue Ban. 2011 Dec 18;43(6):914-8.
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Uncertain role of cytosine arabinoside in varicella infection of compromised hosts.阿糖胞苷在免疫功能低下宿主水痘感染中的作用尚不明确。
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[Primary varicella-zoster virus infection--current knowledge, diagnostic and therapeutic approaches].[原发性水痘-带状疱疹病毒感染——当前认知、诊断及治疗方法]
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[Detection of active varicella-zoster virus (VZV) infection in patients with neurological complications].[神经系统并发症患者中活动性水痘-带状疱疹病毒(VZV)感染的检测]
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Antibody to early antigens of varicella-zoster virus during varicella and zoster.水痘和带状疱疹期间针对水痘-带状疱疹病毒早期抗原的抗体。
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Investigation of varicella-zoster virus-infected cell proteins that elicit antibody production during primary varicella using the immune transfer method.利用免疫转移法对原发性水痘期间引发抗体产生的水痘-带状疱疹病毒感染细胞蛋白进行研究。
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Adenine arabinoside in severe thrombocytopenia due to hemorrhagic varicella.阿糖腺苷治疗出血性水痘所致严重血小板减少症
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本文引用的文献

1
[BCG infection of hematopoietic organs with cellular immune deficiency].[伴有细胞免疫缺陷的造血器官卡介苗感染]
Arch Fr Pediatr. 1974 May;31(5):463-75.
2
[Treatment of herpes zoster with cytarabine (author's transl)].阿糖胞苷治疗带状疱疹(作者译)
Dtsch Med Wochenschr. 1973 Nov 30;98(48):2293-8. doi: 10.1055/s-0028-1107243.
3
Adverse effect of cytosine arabinoside on disseminated zoster in a controlled trial.阿糖胞苷在一项对照试验中对播散性带状疱疹的不良反应。
N Engl J Med. 1973 Oct 25;289(17):873-8. doi: 10.1056/NEJM197310252891701.
4
Determination of different cytomegalovirus immunoglobulins (IgG, IgA, IgM) by immunofluorescence.通过免疫荧光法测定不同的巨细胞病毒免疫球蛋白(IgG、IgA、IgM)
Arch Gesamte Virusforsch. 1972;37(1):131-40. doi: 10.1007/BF01241158.
5
Demonstration of IgM cytomegalovirus-antibodies as an aid to early diagnosis in adults.IgM 型巨细胞病毒抗体检测对成人早期诊断的辅助作用
Clin Exp Immunol. 1970 Mar;6(3):387-93.
6
Cytosine arabinoside and herpes zoster.阿糖胞苷与带状疱疹
Lancet. 1971 Sep 25;2(7726):712. doi: 10.1016/s0140-6736(71)92288-4.