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一名患有肠道病毒感染的新生儿的噬血细胞性淋巴组织细胞增生症:病例报告及文献综述

Hemophagocytic lymphohistiocytosis in a neonate with enterovirus infection: Case report and literature review.

作者信息

Hu Hua, Yu Shukun, Zhang Jing, Zhang Hongping

机构信息

Department of Health Management and Clinical Medicine, Wuhan Polytechnic University, Wuhan, Hubei 430023, China.

Wuhan Dongxihu District Centers for Disease Control and Prevention, Dongxihu District, Wuhan, Hubei 430040, China.

出版信息

IDCases. 2025 Feb 6;40:e02177. doi: 10.1016/j.idcr.2025.e02177. eCollection 2025.

DOI:10.1016/j.idcr.2025.e02177
PMID:40129758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11932653/
Abstract

Viruses are the most common organisms causing hemophagocytic lymphohistiocytosis (HLH), and enterovirus infection is the most frequently diagnosed virus infection in the newborn period. However, in recent years, there have been relatively few reports of enterovirus infection in Chinese neonates complicated by HLH. Here, we describe a female preterm infant who contracted echovirus 11 at day 4 and rapidly developed sepsis during the following three days, along with fever, lethargy, disseminated intravascular coagulation (DIC), and sepsis. She was ultimately identified as having echovirus 11 complicated by HLH. This report will contribute to increasing public awareness of the link between HLH and echo 11 infection, which can aid in early identification and treatment. We reported female preterm infant who contracted echovirus 11 at day 4 and rapidly developed sepsis during the following three days, it was the first report from central China that we are aware of.

摘要

病毒是引起噬血细胞性淋巴组织细胞增生症(HLH)最常见的病原体,而肠道病毒感染是新生儿期最常被诊断出的病毒感染。然而,近年来,中国新生儿肠道病毒感染并发HLH的报道相对较少。在此,我们描述了一名女性早产儿,其在出生第4天感染了埃可病毒11型,并在接下来的三天内迅速发展为败血症,伴有发热、嗜睡、弥散性血管内凝血(DIC)和脓毒症。她最终被确诊为埃可病毒11型感染并发HLH。本报告将有助于提高公众对HLH与埃可病毒11型感染之间联系的认识,这有助于早期识别和治疗。我们报道了一名女性早产儿在出生第4天感染了埃可病毒11型,并在接下来的三天内迅速发展为败血症,据我们所知,这是来自中国中部的首例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e24/11932653/6ecbe634c0e2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e24/11932653/6ecbe634c0e2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e24/11932653/6ecbe634c0e2/gr1.jpg

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本文引用的文献

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Neonatal Onset of Hemophagocytic Lymphohistiocytosis Due to Prenatal Varicella-Zoster Infection in a Neonate with Griscelli Syndrome Type 2.新生儿先天性水痘-带状疱疹病毒感染致噬血细胞性淋巴组织细胞增生症 2 型:1 例病例报道
Iran J Allergy Asthma Immunol. 2022 Aug 12;21(4):488-493. doi: 10.18502/ijaai.v21i4.10297.
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Clinical characteristics of severe neonatal enterovirus infection: a systematic review.严重新生儿肠道病毒感染的临床特征:系统综述。
BMC Pediatr. 2021 Mar 15;21(1):127. doi: 10.1186/s12887-021-02599-y.
3
A neonatal case of coxsackievirus B3 vertical infection with symptoms of hemophagocytic lymphohistiocytosis.
1例新生儿柯萨奇病毒B3垂直感染并伴有噬血细胞性淋巴组织细胞增生症症状。
IDCases. 2020 Feb 29;20:e00738. doi: 10.1016/j.idcr.2020.e00738. eCollection 2020.
4
Echovirus Type 7 Virus-Associated Hemophagocytic Syndrome in a Neonate Successfully Treated With Intravenous Immunoglobulin Therapy: A Case Report.7型埃可病毒相关噬血细胞综合征新生儿经静脉注射免疫球蛋白治疗成功:一例报告
Front Pediatr. 2019 Nov 14;7:469. doi: 10.3389/fped.2019.00469. eCollection 2019.
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A fatal case of enterovirus infection with secondary hemophagocytosis-case report with review of literature.1例致命性肠道病毒感染继发噬血细胞综合征——病例报告并文献复习
APMIS. 2018 Nov;126(11):877-882. doi: 10.1111/apm.12892.
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Neonatal Adenovirus Infection Complicated by Hemophagocytic Lymphohistiocytosis Syndrome.新生儿腺病毒感染合并噬血细胞性淋巴组织细胞增生症。
Pediatrics. 2018 Apr;141(Suppl 5):S475-S480. doi: 10.1542/peds.2017-2061.
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Epstein-Barr Virus and Hemophagocytic Lymphohistiocytosis.爱泼斯坦-巴尔病毒与噬血细胞性淋巴组织细胞增生症
Front Immunol. 2018 Jan 8;8:1902. doi: 10.3389/fimmu.2017.01902. eCollection 2017.
8
Cytomegalovirus-Induced Hemophagocytic Lymphohistiocytosis in an Extreme Preterm Infant: Recognition and Therapy Leading to Recovery.一名极早产儿的巨细胞病毒诱导的噬血细胞性淋巴组织细胞增生症:识别与治疗并实现康复
Adv Neonatal Care. 2017 Apr;17(2):91-95. doi: 10.1097/ANC.0000000000000268.
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Tissue tropism, pathology and pathogenesis of enterovirus infection.肠道病毒感染的组织嗜性、病理学和发病机制。
J Pathol. 2015 Jan;235(2):217-28. doi: 10.1002/path.4438.
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