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人类实验性细小病毒感染

Experimental parvoviral infection in humans.

作者信息

Anderson M J, Higgins P G, Davis L R, Willman J S, Jones S E, Kidd I M, Pattison J R, Tyrrell D A

出版信息

J Infect Dis. 1985 Aug;152(2):257-65. doi: 10.1093/infdis/152.2.257.

DOI:10.1093/infdis/152.2.257
PMID:2993431
Abstract

Healthy adult volunteers were inoculated intranasally with human parvovirus obtained from an asymptomatic blood donor. One week after inoculation, intense viremia was observed in seronegative volunteers, accompanied by a mild illness with pyrexia, malaise, myalgia, itching, and excretion of virus from the respiratory tract. In the following week hematologic studies revealed reticulocytopenia with an associated slight drop in hemoglobin concentration, lymphopenia, neutropenia, and a drop in platelet counts. At 17-18 days after inoculation a second-phase illness with rash and arthralgia lasting three to four days occurred in three of four infected volunteers. This study confirms the etiologic role of human parvovirus in erythematous rash illness, with the second-phase illness being consistent with adult cases of erythema infectiosum. Moreover, the hematologic changes associated with infection support the hypothesis that the same virus is responsible for the temporary arrest of erythropoiesis that leads to aplastic crisis in persons with chronic hemolytic anemia.

摘要

健康成年志愿者经鼻内接种从一名无症状献血者获取的人细小病毒。接种一周后,在血清阴性的志愿者中观察到强烈的病毒血症,同时伴有轻度疾病,症状包括发热、不适、肌痛、瘙痒以及呼吸道病毒排出。在接下来的一周,血液学研究显示网织红细胞减少,同时血红蛋白浓度略有下降、淋巴细胞减少、中性粒细胞减少以及血小板计数下降。接种后17 - 18天,四名受感染志愿者中有三名出现了持续三到四天的伴有皮疹和关节痛的第二阶段疾病。这项研究证实了人细小病毒在红斑疹疾病中的病因学作用,第二阶段疾病与传染性红斑的成人病例一致。此外,与感染相关的血液学变化支持了这样一种假说,即同一病毒导致慢性溶血性贫血患者红细胞生成暂时停止从而引发再生障碍危象。

相似文献

1
Experimental parvoviral infection in humans.人类实验性细小病毒感染
J Infect Dis. 1985 Aug;152(2):257-65. doi: 10.1093/infdis/152.2.257.
2
[Aplastic crises in hereditary spherocytosis].[遗传性球形红细胞增多症中的再生障碍危象]
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Parvovirus infection associated with aplastic crisis in a patient with HEMPAS.与遗传性红细胞生成异常性卟啉病(HEMPAS)患者再生障碍危象相关的细小病毒感染
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The role of parvovirus B19 in aplastic crisis and erythema infectiosum (fifth disease).细小病毒B19在再生障碍性危象和传染性红斑(第五病)中的作用。
J Infect Dis. 1986 Sep;154(3):383-93. doi: 10.1093/infdis/154.3.383.
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Aplastic crisis associated with parvovirus B19 in an adult with hereditary spherocytosis.一名患有遗传性球形红细胞增多症的成年人中与细小病毒B19相关的再生障碍危象。
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Aplastic crisis and erythema infectiosum (fifth disease) revealing a hereditary spherocytosis in a familial human parvovirus infection.再生障碍性危象和传染性红斑(第五病)在家族性人细小病毒感染中揭示遗传性球形红细胞增多症
Nouv Rev Fr Hematol (1978). 1986;28(1):7-9.
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[Aplastic crisis due to human parvovirus B19 infection in glucose-6-phosphate dehydrogenase deficiency].葡萄糖-6-磷酸脱氢酶缺乏症患者因人类细小病毒B19感染所致再生障碍危象
Nihon Ketsueki Gakkai Zasshi. 1989 Nov;52(7):1117-21.

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