怀疑内感染的爱斯坦-巴尔病毒:一个多中心的,回顾性研究研究
Shengfeng Wang1, Yuanxiu Huang2, Nan Wang1
1Department of Critical Care Medicine, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
概括
爱斯坦-巴尔病毒 (EBV) 在疑似感染患者的脑脊髓液样本中的10.1%中被发现. EBV检测与特定的CSF发现相关,但没有独立预测糟糕的结果.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 分子诊断学 分子诊断
背景情况:
- 埃普斯坦-巴尔病毒 (EBV) 在通过基因组下一代测序 (mNGS) 诊断的内感染中的作用需要进一步澄清.
- 评估脑脊液 (CSF) 中EBV检测的临床相关性对于患者管理至关重要.
研究的目的:
- 评估在CSF中检测到EBV的患者的临床特征,成像和结果.
- 为了确定CSF中的EBV阳性是否与不良的临床结果有关.
主要方法:
- 追溯分析507名疑似内感染的患者,他们接受了CSF mNGS.
- 临床数据收集和多变量后勤回归以评估EBV与结果的关联.
主要成果:
- 在CSF样本的10.1%中检测到EBV.
- 阳性EBV病例显示了较高的CSF单核细胞和疹病毒联合检测.
- EBV阳性不是不利结果的独立风险因素 (OR 1.005,P=0.988).
结论:
- 在CSF中检测EBV发生在10.1%的怀疑内感染的患者中.
- EBV阳性与淋巴细胞性CSF多细胞症和其他疹病毒共感染有关.
- 在CSF中的EBV并不能独立预测不良的临床结果.
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