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[新兴虫媒病毒]

[Emerging arboviruses].

作者信息

Schaller Amandine, Moulin Estelle, Cherpillod Pascal, Kaiser Laurent, De Vallière Serge, Boillat-Blanco Noémie

出版信息

Rev Med Suisse. 2016 May 4;12(517):889-94.

Abstract

Many arthropod-borne viruses (arboviruses) underwent a dramatic geographic expansion over the last few years, following the spread of their vectors. It is the case for dengue, currently endemic in most tropical regions, for chikungunya and Zika viruses, which propagated rapidly over a considerable territory. West Nile is one of the most broadly distributed arboviruses in the world. The clinical presentation of these viral infections is non-specific (fever, arthralgia, headache, rash). For travelers presenting with fever within 15 days after returning from an endemic area, laboratory tests can distinguish them. The management is essentially supportive but a specific diagnosis might be important in anticipating possible complications and in decreasing the number of laboratory tests often offered in the case of fever of unknown origin.

摘要

在过去几年中,许多节肢动物传播病毒(虫媒病毒)随着其传播媒介的扩散而经历了显著的地理扩张。登革热就是如此,目前在大多数热带地区流行,基孔肯雅病毒和寨卡病毒也是如此,它们在相当大的区域迅速传播。西尼罗河病毒是世界上分布最广泛的虫媒病毒之一。这些病毒感染的临床表现是非特异性的(发热、关节痛、头痛、皮疹)。对于从流行地区返回后15天内出现发热的旅行者,实验室检查可以对他们进行鉴别。治疗主要是支持性的,但明确诊断对于预测可能的并发症以及减少不明原因发热病例中经常进行的实验室检查数量可能很重要。

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