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新生儿疱疹感染:病例报告与讨论。

Neonatal herpes infection: case report and discussion.

机构信息

Department of Family Medicine and Community Health, University of Massachusetts, Worcester, MA, USA.

出版信息

J Am Board Fam Med. 2011 Nov-Dec;24(6):758-62. doi: 10.3122/jabfm.2011.06.100257.

Abstract

Neonatal herpes simplex virus (HSV) infections are often life-threatening. Although sometimes difficult to diagnose, most infections can be treatable when found early. Infection with HSV should be kept high on the differential diagnosis of a febrile newborn younger than 1 month old, and treatment should be strongly considered for infants with certain risk factors, even before definitive culture or polymerase chain reaction results are available. The case presented here exemplifies the benefits of maintaining a high suspicion of and empirically treating for HSV in a 10-day-old febrile infant.

摘要

新生儿单纯疱疹病毒(HSV)感染通常具有生命威胁。虽然有时难以诊断,但大多数感染如果早期发现是可以治疗的。对于 1 个月龄以下发热的新生儿,HSV 感染应作为鉴别诊断的重点,对于存在某些危险因素的婴儿,即使在获得明确的培养或聚合酶链反应结果之前,也应强烈考虑进行治疗。本病例说明了在 10 天大的发热婴儿中保持高度怀疑和经验性治疗 HSV 的益处。

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