病毒 (MPXV) 感染的眼部表现与眼部样本中的病毒持久性:一个病例系列
Luciana P S Finamor1, Maria Cássia Mendes-Correa2, Mônica Rinkevicius1
1Department of Ophthalmology & Visual Sciences. Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil.
概括
病毒 (MPXV) 可以导致持续的,视力威胁的眼病 (MPXROD) 晚期发作和潜在的感染性通过眼部泄漏,即使在全身康复后.
科学领域:
- 眼科医生 眼科 眼科
- 病毒学 病毒学
- 传染性疾病 传染性疾病
背景情况:
- 猿病毒 (MPXV) 感染,通常称为mopox,可以导致各种临床表现.
- 眼科参与mpox,称为病毒相关的眼科疾病 (MPXROD),需要进一步调查其动态和临床过程.
研究的目的:
- 描述诊断为MPXROD的患者的临床表现和眼部病毒动态.
- 了解mpox患者眼部症状的时间,持续时间和严重程度.
主要方法:
- 一个连续五个mpox患者的病例系列,证实MPXV感染和眼部症状.
- 用聚合酶链反应 (PCR) 测试眼睛样本的MPXV.
- 病毒测序在一个分离物上进行,识别了IIb类B1系的B1系.
主要成果:
- 在所有患者的眼睛样本中检测到复制MPXV,在皮肤病变发病后31至145天之间注意到病毒存在.
- 所有患者都表现出角膜炎;60%患有耳膜炎,40%呈现出阴膜炎.
- 眼部症状在皮肤病变后平均21.2天开始,持续平均61.6天,在治疗前恶化.
结论:
- MPXROD的特点是晚期发病和长期,视力威胁的眼部疾病.
- 在眼睛样本中持续的病毒感染性表明,即使在明显的全身解决之后,也存在通过眼部泄漏传播的风险.
- 这些发现强调了监测和管理mpox患者眼部并发症的重要性.
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