病毒性脑炎:熟悉的感染和新出现的病原体
Richard J Whitley1, John W Gnann
1Department of Pediatrics, Microbiology and Medicine, University of Alabama at Birmingham, USA. R.Whitley@peds.uab.edu
Lancet (London, England)
|February 21, 2002
概括
诊断和预防病毒脑的进展,特别是疹和肠道病毒感染,正在改善患者的治疗结果. 虽然有效的治疗方法仍然有限,但对新疗法的研究为管理这些中枢神经系统感染提供了希望.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 病毒学 病毒学
背景情况:
- 病毒性脑膜炎是一种严重的中枢神经系统感染,具有显著的发病率和死亡率.
- 了解它们的病变和自然史已经取得了相当大的进步.
研究的目的:
- 审查当前关于病毒脑甲状腺的知识.
- 突出新出现的病毒感染和可用的治疗选择.
主要方法:
- 关于病毒脑甲的最新科学文献的综述.
- 专注于诊断方面的进展,预防策略和治疗干预措施.
主要成果:
- 聚合酶连锁反应 (PCR) 改善了疹和肠道病毒感染的诊断.
- 疫苗接种对日本脑炎和狂犬病有效.
- 媒介控制是树虫病毒的关键.
- 克洛维尔对简单疹脑炎有效;其他治疗方法正在评估中.
结论:
- 在理解和管理病毒脑类药物方面取得了重大进展.
- 疫苗接种和媒介控制是预防的关键策略.
- 有限但正在发展的治疗选择需要持续的研究,特别是对于新出现的感染.
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