Powell S, Schochet S S
Department of Pathology, University of Florida College of Medicine, J. Hillis Miller Health Sciences Center, Gainesville, USA.
Semin Pediatr Neurol. 1995 Sep;2(3):211-9. doi: 10.1016/s1071-9091(05)80032-4.
Viral infections of the central nervous system in infants and children are uncommon but potentially serious illnesses. Common causes have included the enteroviruses (particularly polioviruses and coxsackieviruses), herpes viruses (type 1 and type 2 herpes simplex, varicella, and cytomegalovirus), arboviruses, rubella, mumps, measles (including subacute sclerosing panencephalitis), and human immunodeficiency virus. Several of these viruses, such as cytomegalovirus, herpes simplex, and vertically transmitted human immunodeficiency virus, may cause congenital infections. Others are acquired later in childhood. In recent years, immunization programs have significantly reduced the occurrence of some of these diseases. A brief survey of the clinical and pathological manifestations of these illnesses will be discussed along with current incidence data.
婴幼儿中枢神经系统的病毒感染并不常见,但可能是严重疾病。常见病因包括肠道病毒(特别是脊髓灰质炎病毒和柯萨奇病毒)、疱疹病毒(1型和2型单纯疱疹病毒、水痘和巨细胞病毒)、虫媒病毒、风疹、腮腺炎、麻疹(包括亚急性硬化性全脑炎)以及人类免疫缺陷病毒。其中几种病毒,如巨细胞病毒、单纯疱疹病毒和垂直传播的人类免疫缺陷病毒,可能导致先天性感染。其他病毒则在儿童期后期获得。近年来,免疫规划已显著降低了其中一些疾病的发生率。本文将结合当前发病率数据,简要探讨这些疾病的临床和病理表现。