临床儿科杂志 ›› 2017, Vol. 35 ›› Issue (11): 857-.doi: 10.3969/j.issn.1000-3606.2017.11.014

• 综合报道 • 上一篇    下一篇

新生儿手足口病 8 例临床分析

周高枫, 王红梅, 田树凤, 邓继岿   

  1. 深圳市儿童医院感染科(广东深圳 518038)
  • 收稿日期:2017-11-15 出版日期:2017-11-15 发布日期:2017-11-15
  • 通讯作者: 邓继岿  E-mail:djikui20212@sina.com

Clinical analysis of 8 cases of neonatal hand-foot-mouth disease

 ZHOU Gaofeng, WANG Hongmei, TIAN Shufeng, DENG Jikui   

  1. Department of Infectious Disease, Shenzhen Children’s Hospital, Shenzhen 518038, Guangdong, China
  • Received:2017-11-15 Online:2017-11-15 Published:2017-11-15

摘要:  目的 分析新生儿手足口病的临床特点、治疗及预后。方法 回顾分析2014年7月—2016年5月间收治的 8例新生儿手足口病患儿的临床资料,所有患儿均采用实时荧光定量PCR法进行咽拭子肠道病毒通用型核酸、EV71和 CA16核酸检测。结果 8例新生儿手足口病,男6例、女2例,日龄7~26天; 7例有接触史;临床表现为出疹(8例)、发热 (6例)、烦躁(4例)、呕吐(1例),无惊厥、抽搐。RT-PCR检测肠道病毒显示均为非EV71、非CA16的其他肠道病毒感染。 5 例合并肺部感染,给予抗生素治疗。 8例均预后良好。 结论 新生儿手足口病多有接触史,临床表现无特异性,以非EV71、 非CA16肠道病毒为主,易合并肺部感染。

Abstract:  Objective To study the clinical features, treatment and prognosis of neonatal hand-foot-mouth disease. Methods Neonatal hand-foot-mouth disease patients admitted from July 2014 to May 2016 were retrospectively studied. EV71, CA16 and universal enterovirus were detected from newborn swabs by RT-PCR. Results A total of 8 neonatal patients with hand-foot-mouth diseases, 6 boys and 2 girls were diagnosed at an age ranged from 7-26 days. Of them, 7 patients had exposure history. Clinical manifestations including rash (8 cases), fever (6 cases), irritability (4 cases) and vomiting (1 case), nobody suffered convulsions. The results of RT-PCR showed pathogen enterovirus not- EV71 and not-CA16. There were 5 cases of pulmonary infection treated with antibiotic therapy. All of the 8 cases had a good prognosis. Conclusions Most of the handfoot-mouth diseases had exposure history without specific clinical manifestations. They had not- EV71 and not-CA16 intestinal virus infection, some patients had pulmonary infection. Therefore, neonatal hand-foot-mouth diseases need more clinical attention.