新生儿中枢神经系统单纯疱疹病毒感染的临床横断面研究  

Clinical Cross Sectional Study of Herpes Simplex Virus Infection of Central Nervous System in Newborn Infants

作　　者：杨天娇[1] 朱启镕[1] 王晓红[1] 王建设[1] 

机构地区：[1]复旦大学附属儿科医院感染科,上海200032

出　　处：《实用儿科临床杂志》2006年第12期746-748,共3页Journal of Applied Clinical Pediatrics

摘　　要：目的通过分子生物学方法了解新生儿中枢神经系统单纯疱疹病毒(HSV)感染情况,并对其临床特点进行分析。方法收集考虑中枢神经系统病毒感染新生儿40例的脑脊液(CSF)标本,通过套式PCR检测CSF中HSV-DNA及酶联免疫吸附法检测CSF中特异性HSV-IgM抗体。结果2例患儿检测CSF中HSV-1 DNA(+),其母亲妊娠期均体健,无生殖器疱疹史,无皮损;1例提示为播散性感染,另1例局限为中枢神经系统感染。40例CSF检测HSV-2 DNA均阴性。结论HSV感染占新生儿中枢神经系统病毒感染的5%,不是常见病原;1型可能为新生儿HSV中枢感染的常见类型,可能与我国孕母HSV-2血清感染率较低有关。Objective To investigate the prevalence of herpes simplex virus （HSV） infection of central nervous system（CNS） in newborn infant,and analyze its clinical characteristics. Methods Cerebrospinal fluid（CSF） was collected from 40 acute viral infection of central nervous system who were hospitalized during June 2001 to June 2002. Polymerse chain reacton techniques （nested - PCR）was used to detect HSV - specific DNA in CSF, enzyme - linked immunosorbert assays（ELISA）was applied to detect HSV - specific IgM and lgG antibody in CSF and serum specimens. Results Two cases of neonatal patients were HSV - 1. DNA PCR positive in CSF, both mother were normal during pregnancy without a history of genital herpes. Clinical presentations of one case belonged to disseminated HSV infectious and the other was limited to CNS infections. HSV- 2 DNA PCR of 40 cases of neonatal patients were negative in CSF. Conclusions The rate of HSV neonatal CNS infection was 5 % among viral neonatal CNS infectious. HSV type 1 in the period, which showed that HSV type 1 may be the common type of HSV neonatal CNS infections. The result seems to be related to low prevalence for HSV - 2 among pregnancy women in China.

关 键 词：婴儿 新生 中枢神经系统 单纯疱疹病毒 

分 类 号：R722.1[医药卫生—儿科]