Sikhosana Mpho L, Salloo Asma, Birkhead Monica, McCarthy Kerrigan
South African Field Epidemiology Training Programme, National Institute for Communicable Diseases, Division of National Health Laboratory Services, Johannesburg, South Africa.
Department of Critical Care, Chris Hani Baragwanath Academic Hospital, Soweto, South Africa.
Afr J Lab Med. 2019 Oct 23;8(1):916. doi: 10.4102/ajlm.v8i1.916. eCollection 2019.
Herpes simplex virus has been reported in the literature to commonly complicate burn wounds. However, there is paucity of such data in the South African setting.
Eight paediatric burns patients with ages ranging between 10 months and 5 years presented with a febrile maculopapular rash illness in a paediatric ward of a large South African tertiary hospital. The rash became vesicular in three cases, involving the limbs and face. Varicella was suspected.
Medical records of suspected cases were reviewed. Blood, vesicular fluid and scab samples were collected. Electron microscopy of vesicular fluid revealed herpes virus particles. Laboratory testing confirmed herpes simplex virus type 1.
Herpes simplex virus type 1 infection can present atypically in burns patients.
文献报道单纯疱疹病毒常使烧伤创面复杂化。然而，在南非的环境中，此类数据匮乏。
8名年龄在10个月至5岁之间的儿科烧伤患者，在南非一家大型三级医院的儿科病房出现发热性斑丘疹疾病。3例患者皮疹变为水疱性，累及四肢和面部。怀疑为水痘。
对疑似病例的病历进行了审查。采集了血液、水疱液和痂皮样本。水疱液的电子显微镜检查发现了疱疹病毒颗粒。实验室检测确诊为1型单纯疱疹病毒。
1型单纯疱疹病毒感染在烧伤患者中可能表现不典型。
