在患有桃体炎的患者中进行腺体发烧检测:一项回顾性研究
Abubaker Elamin1,2, Amena Al Saad3,4, Laith Sinan5
1General Surgery, Humanitas University, Milan, ITA.
Cureus
|December 11, 2023
概括
许多腺体发烧 (埃普斯坦-巴尔病毒) 病例被误诊为简单的桃体炎. 早期对爱斯坦-巴尔病毒进行查至关重要,以防止与这种感染相关的严重并发症.
科学领域:
- 传染性疾病 传染性疾病
- 病毒学 病毒学
- 公共卫生 公共卫生
背景情况:
- 桃体炎在学龄儿童中很常见,通常是由病毒或细菌感染引起的.
- 腺体发烧是一种严重的桃体炎,由爱斯坦-巴尔病毒 (EBV) 引起.
- EBV感染可能导致严重的并发症,如骨破裂和脑炎,需要早期检测.
研究的目的:
- 为了确定误诊为简单桃体炎的腺体发烧病例的数量.
- 为突出潜在EBV感染患者的管理考虑因素.
主要方法:
- 在林肯县医院进行了一项为期12个月的回顾性队列研究.
- 包括被诊断患有桃体炎的185名患者.
- 对出现症状,肝功能测试和EBV查结果的审查.
主要成果:
- 在112名查患者中,35名 (31.3%) 检测出EBV.阳性.
- 在EBV阳性患者的74%,观察到异常的肝功能测试.
- 估计还有23个EBV病例 (占总数的12%) 可能被忽视了.
结论:
- 很大一部分EBV感染可能未被诊断,呈现为简单的桃体炎.
- 错过病例的高率强调了EBV查的重要性.
- 及时识别和管理对于减轻EBV相关并发症至关重要.
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