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新生儿手足口病 8 例临床分析

  • 周高枫 ,
  •  邓继岿 ,
  •  王红梅 ,
  •  田树凤
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  • 深圳市儿童医院感染科(广东深圳 518038)

收稿日期: 2017-11-15

  网络出版日期: 2017-11-15

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

  •  ZHOU Gaofeng ,
  • DENG Jikui ,
  • WANG Hongmei ,
  • TIAN Shufeng
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  • Department of Infectious Disease, Shenzhen Children’s Hospital, Shenzhen 518038, Guangdong, China

Received date: 2017-11-15

  Online 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。

本文引用格式

周高枫 ,  邓继岿 ,  王红梅 ,  田树凤 . 新生儿手足口病 8 例临床分析[J]. 临床儿科杂志, 2017 , 35(11) : 857 . DOI: 10.3969/j.issn.1000-3606.2017.11.014

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.
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