在暴露于艾滋病毒的新生儿中,尼维拉诱导的史蒂文斯-约翰逊综合征:病例报告
Eimear M O'Connell1, Nthambose Simango1, Bryan J Vonasek1,2
1Department of Pediatrics and Child Health, Queen Elizabeth Central Hospital, Blantyre, Malawi.
IDCases
|February 24, 2026
概括
一名新生儿在使用尼维拉平 (NVP) 预防艾滋病毒后出现了史蒂文斯-约翰逊综合征. 迅速停止药物治疗导致完全康复,强调对这种罕见的新生儿反应的早期识别和干预.
科学领域:
- 新生儿医学 新生儿医学
- 药理学 药理学是指药理学的学科.
- 皮肤病学 皮肤病学
背景情况:
- 产后服用抗逆转录病毒药物,如尼维拉 (NVP),对于预防母婴艾滋病毒传播至关重要.
- 新生儿可能会出现不良药物反应,需要仔细监测.
- 史蒂文斯-约翰逊综合征 (SJS) 是一种罕见但严重的粘膜皮肤反应.
研究的目的:
- 报告第一个新生儿史蒂文斯-约翰逊综合征 (SJS) 病例,与产后尼维拉平 (NVP) 预防有关.
- 强调识别和管理新生儿中NVP诱导的SJS的重要性.
主要方法:
- 一个未成年男婴的案例报告.
- 临床观察粘膜皮肤皮疹的发展.
- 临床发现的评估与史蒂文斯-约翰逊综合征一致.
- 监测婴儿对停止使用尼维拉平的反应.
主要成果:
- 一个孕期男婴在生命的第二周出现了水泡状的皮肤粘膜皮疹.
- 皮疹发作是随着与内维拉平 (NVP) 的产后艾滋病毒预防而发生的.
- 临床表现与史蒂文斯-约翰逊综合征一致.
- 停止使用尼维拉导致完全康复.
结论:
- 尼维拉平 (NVP) 可以在新生儿中诱导史蒂文斯-约翰逊综合征 (SJS).
- 早期识别和迅速停止使用侵权药物对于有利的结果至关重要.
- 在为新生儿艾滋病毒预防使用内维拉平时需要保持警.
更多相关视频
10:15Intracerebroventricular Viral Injection of the Neonatal Mouse Brain for Persistent and Widespread Neuronal Transduction
Published on: September 15, 2014
63.5K
05:53Use of In vivo Imaging to Monitor the Progression of Experimental Mouse Cytomegalovirus Infection in Neonates
Published on: July 6, 2013
15.5K
相关概念视频
Teratogenicity
4.3K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
4.3K
Pharmacokinetics in Pediatric Patients: Drug Excretion
329
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
329
Retroviruses
15.1K
Retroviruses and retrotransposons both insert copies of their genetic elements into the genome of the host cell. Thus, the viral genes are passed on when the host genome is replicated or translated. A typical retroviral DNA sequence contains 3-4 genes that encode the different proteins required for its structural assembly and function as a molecular parasite. This DNA is transcribed into a single mRNA, which is very similar in structure to conventional mRNAs, i.e., it is capped at the 5’...
15.1K
Subviral Agents
653
Subviral agents are infectious entities that resemble viruses but lack one or more viral components, such as a capsid or essential replication machinery. These agents include viroids, prions, and satellites, each possessing distinct structural and functional characteristics that influence their mode of infection and replication.Viroids are the simplest subviral agents, consisting of circular, single-stranded RNA molecules without a protein coat. They exclusively infect plants, relying entirely...
653
Pharmacokinetics: Drug–Food and Drug–Viral Interactions
332
A drug interaction occurs when the concurrent use of another drug, food, or an external substance alters the pharmacological activity of a drug. This interaction can modify the action of the original drug, affecting its effectiveness and safety.Drug–food interactions are significant as they impact drug absorption, metabolism, and excretion. For example, grapefruit juice is a well-known disruptor of drug metabolism. It inhibits the cytochrome P450 3A4 enzyme, crucial for the metabolism of...
332
Drug toxicity: Idiosyncratic Reactions
62
Idiosyncratic drug reactions represent abnormal chemical responses that vary significantly among individuals, ranging from extreme sensitivity to low doses to insensitivity to high doses. These reactions often occur due to the drug's covalent binding with serum proteins, forming a foreign hapten that triggers an immunotoxicological response. The variability in drug reactions has a strong pharmacogenetic foundation, with genetic differences crucial in how individuals metabolize drugs. For...
62
