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[成人水痘带状疱疹感染:带状疱疹之外?]

[Varicella Zoster infections in adults: beyond shingles?].

作者信息

Buvelot Hélène, Lebowitz Dan, Huttner Benedikt, Schibler Manuel, Kaiser Laurent, Abbas Mohamed

出版信息

Rev Med Suisse. 2016 Apr 13;12(514):738-43.

Abstract

Chickenpox is a generally benign condition during childhood, but it can cause severe complications when affecting teenage or adult patients. Immunodeficiency and pregnancy are risk factors for disseminated disease with pulmonary, neurological and/or hepatic involvement. Reinfection may be more frequent than previously thought, and management is identical to that of primary infection. The most common manifestation of viral reactivation is shingles, but it can also cause meningitis and vasculopathy, as well as disseminated herpes zoster in the immunocompromised patient. In this article, we will review the clinical manifestations and management of VZV infection in adults.

摘要

水痘在儿童期通常是一种良性疾病,但在影响青少年或成年患者时可引起严重并发症。免疫缺陷和妊娠是伴有肺部、神经和/或肝脏受累的播散性疾病的危险因素。再次感染可能比以前认为的更频繁,其治疗与原发性感染相同。病毒再激活最常见的表现是带状疱疹,但它也可引起脑膜炎和血管病变,以及免疫功能低下患者的播散性带状疱疹。在本文中,我们将综述成人水痘带状疱疹病毒(VZV)感染的临床表现及治疗。

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