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[80例病毒学确诊的眼部疱疹病例评估。病毒类型与疾病流行病学特征之间的相关性研究]

[Evaluation of 80 virologically-confirmed cases of ocular herpes. Study of the correlation between the type of virus and the epidemiologic characteristics of the disease].

作者信息

Colin J, Chastel C, Coroller A, Lejeune B, Quillien M C, Querre J

出版信息

J Fr Ophtalmol. 1983;6(11):877-80.

PMID:6323567
Abstract

80 strains were isolated from patients with herpetic ocular infection during the period May 1979 to May 1981: 17 patients with herpetic blepharitis, 40 patients with superficial keratitis and 23 with deep stromal keratitis or kerato-uveitis. Among 63 patients treated with antiviral agents, clinical resistance to the drug was observed in 17 cases. The strains were typed as HSV 1.1, 1.2 or 2.2 by seroneutralization and thermosensitivity in cellular cultures. No relationship between the viral types and the patient age, previous history of corticosteroid therapy and the response of ocular lesions to antiviral treatment were detected. It appeared that there was a relationship between the viral type and the clinical type of infection: 70% of herpetic blepharitis and 83% of superficial keratitis were due to HSV 1.1 while 71% of stromal keratitis were due to HSV 1.2. No HSV 2.2 was isolated. These results seem to support the hypothesis that genetic differences between herpetic virus strains may determine their virulence.

摘要

1979年5月至1981年5月期间,从疱疹性眼部感染患者中分离出80株病毒:17例疱疹性睑缘炎患者,40例浅层角膜炎患者,23例深层基质性角膜炎或角膜葡萄膜炎患者。在63例接受抗病毒药物治疗的患者中,观察到17例对药物产生临床耐药性。通过细胞培养中的血清中和试验和热敏感性将这些毒株分型为HSV 1.1、1.2或2.2。未发现病毒类型与患者年龄、既往皮质类固醇治疗史以及眼部病变对抗病毒治疗的反应之间存在关联。似乎病毒类型与感染的临床类型之间存在关联:70%的疱疹性睑缘炎和83%的浅层角膜炎由HSV 1.1引起,而71%的基质性角膜炎由HSV 1.2引起。未分离出HSV 2.2。这些结果似乎支持疱疹病毒株之间的基因差异可能决定其毒力这一假说。

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