[结节质量是爱斯坦巴尔病毒感染的第一个表现]
Laura Bettin Torres1, María Alejandra Cerquera Jaramillo1, Luis Alberto Ruiz Robles1
1Facultad de Medicina, Universidad Militar Nueva Granada, Bogotá D. C., Colombia.
Andes pediatrica : revista Chilena de pediatria
|October 31, 2023
概括
爱斯坦·巴尔病毒感染可以导致儿童罕见的结膜质. 早期诊断是管理这些非典型的眼部表现的关键.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 爱斯坦巴尔病毒 (EBV) 是一种常见的感染,具有多种系统性影响.
- 眼科表现的EBV是罕见的,往往不特定,复杂的诊断.
- 结膜质块是EBV感染的一个不寻常的表现.
研究的目的:
- 报告一个儿科病例,结膜质块是爱斯坦巴尔病毒感染的最初迹象.
- 强调在非典型的儿科眼部炎症条件中考虑EBV的重要性.
主要方法:
- 一个4岁的男孩出现了眼 edem,ptosis,和一个快速增长的结膜质量.
- 最初的调查包括血细胞计数,非典型淋巴细胞分析,LDH水平,骨髓吸血和成像 (轨道和腹部CT).
- 活检证实了慢性EBV感染;治疗有症状.
主要成果:
- 患者表现出淋巴细胞症,非典型的淋巴细胞,升高的LDH和脊髓巨变.
- CT扫描显示眼加厚和大.
- 活检证实了慢性爱斯坦巴尔病毒感染,患者在症状管理下显示完全康复.
结论:
- 结膜质量可能是早期的,尽管很少见的,爱斯坦·巴尔病毒感染在儿童中的表现.
- 儿科患者非典型的眼部和眼周炎症症状需要考虑EBV感染.
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