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[呼吸道合胞病毒:作为儿童和成人呼吸道感染的病原体]

[Respiratory syncytial virus: as an etiological agent of respiratory tract infection in children and adults].

作者信息

Belino-Studzińska Paulina, Pancer Katarzyna

机构信息

Zakład Wirusologii Narodowego Instytutu Zdrowia, Państwowego Zakładu Higieny, Warszawa.

出版信息

Przegl Epidemiol. 2008;62(4):767-75.

PMID:19209739
Abstract

Respiratory Syncytial Virus is the most important cause of respiratory tract infection in infants, young children and immunocompromised adults. RSV disease spectrum includes a wide array of respiratory symptoms, from rhinitis and otits media to pneumonia and bronchiolitis. Studies have implicated severe RSV infection early in life as a risk factor for subsequent development of reactive airway disease. RSV-infected patients indicated increased levels of Th2 cytokines and IgE in the patients sera, suggesting that an allergy-like condition may develop during infection. However, the mechanism by which RSV contributes to asthma is complex and remains largely unknown. Despite its importance as a pathogen, there is no licensed vaccine against RSV. Lack of effective immunoprofilaxis as well as high risk of development of serious sequels make the diagnostics indispensable in controlling spread of the virus.

摘要

呼吸道合胞病毒是婴儿、幼儿和免疫功能低下成年人呼吸道感染的最重要原因。呼吸道合胞病毒疾病谱包括广泛的呼吸道症状,从鼻炎和中耳炎到肺炎和细支气管炎。研究表明,生命早期严重的呼吸道合胞病毒感染是随后发生反应性气道疾病的一个危险因素。呼吸道合胞病毒感染患者血清中Th2细胞因子和IgE水平升高,表明感染期间可能会出现类似过敏的状况。然而,呼吸道合胞病毒导致哮喘的机制很复杂,在很大程度上仍然未知。尽管它作为病原体很重要,但目前尚无针对呼吸道合胞病毒的许可疫苗。缺乏有效的免疫预防措施以及发生严重后遗症的高风险使得诊断对于控制病毒传播不可或缺。

相似文献

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[Respiratory syncytial virus: as an etiological agent of respiratory tract infection in children and adults].[呼吸道合胞病毒:作为儿童和成人呼吸道感染的病原体]
Przegl Epidemiol. 2008;62(4):767-75.
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Immunopathology of RSV infection: prospects for developing vaccines without this complication.呼吸道合胞病毒感染的免疫病理学:开发无此并发症疫苗的前景。
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Contribution of neuroimmune mechanisms to airway inflammation and remodeling during and after respiratory syncytial virus infection.神经免疫机制在呼吸道合胞病毒感染期间及之后对气道炎症和重塑的作用。
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Physiologic risk factors for respiratory viral infections and immunoprophylaxis for respiratory syncytial virus in young children with congenital heart disease.先天性心脏病幼儿呼吸道病毒感染的生理危险因素及呼吸道合胞病毒的免疫预防
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Clinical experience with respiratory syncytial virus vaccines.呼吸道合胞病毒疫苗的临床经验。
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Respiratory syncytial virus bronchiolitis and the pathogenesis of childhood asthma.呼吸道合胞病毒细支气管炎与儿童哮喘的发病机制
Pediatr Infect Dis J. 2003 Feb;22(2 Suppl):S76-82. doi: 10.1097/01.inf.0000053889.39392.a7.
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Respiratory syncytial virus infection in adults.成人呼吸道合胞病毒感染
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Respiratory syncytial virus and other respiratory viruses during the first 3 months of life promote a local TH2-like response.呼吸道合胞病毒及其他呼吸道病毒在生命的头3个月会引发局部类似辅助性T细胞2型的反应。
J Allergy Clin Immunol. 2005 Oct;116(4):805-11. doi: 10.1016/j.jaci.2005.07.012.
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Respiratory syncytial virus and other respiratory viruses.呼吸道合胞病毒及其他呼吸道病毒。
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Similar cytokine profiles in response to infection with respiratory syncytial virus type a and type B in the upper respiratory tract in infants.婴儿上呼吸道感染甲型和乙型呼吸道合胞病毒时相似的细胞因子谱。
Intervirology. 2008;51(2):112-5. doi: 10.1159/000134268. Epub 2008 May 21.

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Pediatr Pulmonol. 2014 Mar;49(3):269-76. doi: 10.1002/ppul.22781. Epub 2013 Feb 8.
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Acute lower respiratory tract infection due to respiratory syncytial virus in a group of Egyptian children under 5 years of age.埃及 5 岁以下儿童因呼吸道合胞病毒引起的急性下呼吸道感染。
Ital J Pediatr. 2011 Apr 6;37:14. doi: 10.1186/1824-7288-37-14.