신생아 헤르페스바이러스 감염병 (단순 포진 바이러스 감염병) Neonatal herpes simplex virus infections

신생아 헤르페스바이러스 감염병 (단순 포진 바이러스 감염병) Neonatal herpes simplex virus infections

잠복기는 약 4주이고 출생 후 어느 때나 발생될 수 있다.
출생 전 태반이나 산도에서 감염될 수 있고
드물게는 모체 외부생식기 2형 헤르페스바이러스 감염병 환부에서 또는 질산도에 있는 헤르페스 바이러스 감염병 환부에서 태아에게 감염될 수 있다.

신생아 2형 헤르페스바이러스 감염병의 증상 징후 진단 치료

2형 헤르페스 바이러스가 전신으로 퍼져 중추 신경계뿐만 아니라 전신 신생아 2형 헤르페스바이러스 감염병이 생길 수 있다.
그래서 박테리아 패혈증을 앓는 것과 유사하게 몹시 심하게 앓을 수 있다.
신생아 중추 신경계 2형 헤르페스바이러스 감염병은 중추 신경계에만 한정되어 앓을 수도 있고, 어떤 병을 앓는지 확실히 모를 정도로 특이 증상 징후가 나타나지 않을 수 있다. 그래서 이병의 초기에 확실히 진단 붙일 수 없는 경우도 있다.
그러나 열이 나고 보채고 신경이 예민한 증상 징후가 신생아에게 생기고 또 뇌척수액 검사의 결과가 비정상적이고, 특히 전신 경련을 하면 신생아 2형 헤르페스 바이러스 감염병을 의심해야 한다.
신생아 2형 헤르페스 바이러스 감염이 있으면 0.3%~1.0%에서 열이 나고 뇌 척수액 검사가 비정상적이다(Archies of pediatrics and adolescent medicine, July 2008, p.665).
피부, 눈, 입 등에 국한되어 생긴 2형 헤르페스바이러스 감염병을 앓을 수도 있다.
2형 헤르페스바이러스 감염이 피부에 생기면 습포가 나고 어떤 수포에는 딱지가 지고, 또 어떤 습포에는 궤양이 생기기도 한다. 그리고 2형 헤르페스바이러스 감염병으로 뇌염, 간염, 또는 폐렴 등이 생길 수 있다.
병력, 증상 징후, 진찰 소견 등을 종합하고 짱크 현미경 검사, 형광 항체검사, 바이러스 배양검사 등으로 진단한다.
2형 헤르페스바이러스 신생아 뇌염은 병원에서

① 에이사이클로비아(Acyclovir)

② Famciclovir(Famvir)

③ 또는 Valacyclovir(Valtrex)제 혈관주사로 치료한다.

④ 때로는 비다라빈(Vidarabine)제 혈관주사로 치료한다.

그중 에이사이클로비아 혈관주사 치료를 가장 많이 쓴다.

Neonatal herpes simplex virus infections 신생아 헤르페스바이러스 감염병 (단순 포진 바이러스 감염병)

• The incubation period is about 4 weeks and can occur at any time after birth.

• Prenatal placenta or birth canal infection

• Rarely, the fetus can be infected from the affected area of the maternal external genitalia type 2 herpesvirus infection or from the affected area of the herpes virus infection in the nitric acid canal.

Diagnosis and treatment of symptoms and signs of neonatal herpes virus type 2 infection

• Herpes virus type 2 can spread throughout the body, leading to systemic herpes virus infection in newborns as well as the central nervous system.

• So you can get very badly, similar to having bacterial sepsis.

• Neonatal central nervous system type 2 herpesvirus infection may be confined to the central nervous system and may not show signs of specific symptoms so that you are not sure what kind of disease you are suffering from. Therefore, there are cases in which the diagnosis cannot be made clearly in the early stages of this disease.

• However, if the newborn has symptoms of fever, fluffiness, and nervousness, and the results of cerebrospinal fluid tests are abnormal, especially if systemic convulsions, neonatal herpes virus infection type 2 should be suspected.

• In case of neonatal herpes virus type 2 infection, a fever occurs in 0.3% to 1.0% and a cerebrospinal fluid test is abnormal (Archies of pediatrics and adolescent medicine, July 2008, p.665).

• You may have a type 2 herpesvirus infection that is confined to your skin, eyes, and mouth.

• When a herpes virus type 2 infection occurs on the skin, it causes a compress, some blisters with scabs, and others with ulcers. In addition, as a type 2 herpesvirus infection, encephalitis, hepatitis, or pneumonia can occur.

• Comprehensive medical history, symptom signs, and medical examination findings, and diagnosed with a microscope test, a fluorescent antibody test, and a virus culture test.

• Herpes virus type 2 neonatal encephalitis in hospital

① Acyclovir

② Famciclovir(Famvir)

③ Or treatment with Valacyclovir (Valtrex) intravenous injection.

④ Sometimes, it is treated with a blood vessel injection made of Vidarabine. Among them, Acyclovia vascular injection treatment is the most used.

출처 및 참조 문헌 Sources and references

NelsonTextbook of Pediatrics 22ND Ed

The Harriet Lane Handbook 22ND Ed

Growth and development of the children

Red Book 32^nd Ed 2021-2024

Neonatal Resuscitation, American Academy Pediatrics

www.drleepediatrics.com제7권 소아청소년 감염병

www.drleepediatrics.com제9권 소아청소년 소화기 질환

Red book 29th-31st edition 2021

Nelson Text Book of Pediatrics 19^{th —} 21st Edition

The Johns Hopkins Hospital, The Harriet Lane Handbook, 22nd edition

Childhood Emergencies in the Office, Hospital and Community, American Academy of Pediatrics

Emergency Medical Service for Children, By Ross Lab. May 1989. p.10

Emergency care, Harvey grant and Robert murray

Emergency Care Transportation of Sick and Injured American Academy of Orthopaedic Surgeons

Emergency Pediatrics A Guide to Ambulatory Care, Roger M. Barkin, Peter Rosen

Immediate care of the acutely ill and injured, Hugh E. Stephenson, Jr

The Critically Ill Child, Diagnosis and Management, Edited by Clement A. Smith

Emergency Medical Services for Children: The Role of the Primary Care Provider, America Academy of Pediatrics

Quick Reference To Pediatric Emergencies , Delmer J. Pascoe, M.D., Moses Grossman, M.D. with 26 contributors

Manual of Emergency Care

응급환자관리 정담미디어

소아가정간호백과–부모도 반의사가 되어야 한다, 이상원

Neonatal Resuscitation American heart Association

Neonatology Jeffrey J.Pomerance, C. Joan Richardson

Pediatric Resuscitation Pediatric Clinics of North America, Stephen M. Schexnayder, M.D.

Pediatric Critical Care, Pediatric Clinics of North America, James P. Orlowski, M.D.

Preparation for Birth. Berverly Savage and Dianna Smith

Infectious disease of children, Saul Krugman, Samuel L Katz, Ann A. Gerhon, Catherine Wilfert

The Harriet Lane Handbook 19th Edition

소아과학 대한교과서

제1권 소아청소년 응급의료 참조문헌과 출처

Other
Copyright ⓒ 2015 John Sangwon Lee, MD., FAAP

“부모도 반의사가 되어야 한다”-내용은 여러분들의 의사로부터 얻은 정보와 진료를 대신할 수 없습니다.

“The information contained in this publication should not be used as a substitute for the medical care and advice of your doctor. There may be variations in treatment that your doctor may recommend based on individual facts and circumstances. “Parental education is the best medicine.”

신생아 헤르페스바이러스 감염병 (단순 포진 바이러스 감염병) Neonatal herpes simplex virus infections

Neonatal herpes simplex virus infections 신생아 헤르페스바이러스 감염병 (단순 포진 바이러스 감염병)

• The incubation period is about 4 weeks and can occur at any time after birth.

• Prenatal placenta or birth canal infection

• Rarely, the fetus can be infected from the affected area of the maternal external genitalia type 2 herpesvirus infection or from the affected area of the herpes virus infection in the nitric acid canal.

Diagnosis and treatment of symptoms and signs of neonatal herpes virus type 2 infection

• Herpes virus type 2 can spread throughout the body, leading to systemic herpes virus infection in newborns as well as the central nervous system.

• So you can get very badly, similar to having bacterial sepsis.

• However, if the newborn has symptoms of fever, fluffiness, and nervousness, and the results of cerebrospinal fluid tests are abnormal, especially if systemic convulsions, neonatal herpes virus infection type 2 should be suspected.

• In case of neonatal herpes virus type 2 infection, a fever occurs in 0.3% to 1.0% and a cerebrospinal fluid test is abnormal (Archies of pediatrics and adolescent medicine, July 2008, p.665).

• You may have a type 2 herpesvirus infection that is confined to your skin, eyes, and mouth.

• When a herpes virus type 2 infection occurs on the skin, it causes a compress, some blisters with scabs, and others with ulcers. In addition, as a type 2 herpesvirus infection, encephalitis, hepatitis, or pneumonia can occur.

• Comprehensive medical history, symptom signs, and medical examination findings, and diagnosed with a microscope test, a fluorescent antibody test, and a virus culture test.

• Herpes virus type 2 neonatal encephalitis in hospital

① Acyclovir

② Famciclovir(Famvir)

③ Or treatment with Valacyclovir (Valtrex) intravenous injection.

④ Sometimes, it is treated with a blood vessel injection made of Vidarabine. Among them, Acyclovia vascular injection treatment is the most used.

출처 및 참조 문헌 Sources and references

Neonatal herpes simplex virus infections 신생아 헤르페스바이러스 감염병 (단순 포진 바이러스 감염병)

• The incubation period is about 4 weeks and can occur at any time after birth.

• Prenatal placenta or birth canal infection

• Rarely, the fetus can be infected from the affected area of ​​the maternal external genitalia type 2 herpesvirus infection or from the affected area of ​​the herpes virus infection in the nitric acid canal.

Diagnosis and treatment of symptoms and signs of neonatal herpes virus type 2 infection

• Herpes virus type 2 can spread throughout the body, leading to systemic herpes virus infection in newborns as well as the central nervous system.

• So you can get very badly, similar to having bacterial sepsis.

• However, if the newborn has symptoms of fever, fluffiness, and nervousness, and the results of cerebrospinal fluid tests are abnormal, especially if systemic convulsions, neonatal herpes virus infection type 2 should be suspected.

• In case of neonatal herpes virus type 2 infection, a fever occurs in 0.3% to 1.0% and a cerebrospinal fluid test is abnormal (Archies of pediatrics and adolescent medicine, July 2008, p.665).

• You may have a type 2 herpesvirus infection that is confined to your skin, eyes, and mouth.

• When a herpes virus type 2 infection occurs on the skin, it causes a compress, some blisters with scabs, and others with ulcers. In addition, as a type 2 herpesvirus infection, encephalitis, hepatitis, or pneumonia can occur.

• Comprehensive medical history, symptom signs, and medical examination findings, and diagnosed with a microscope test, a fluorescent antibody test, and a virus culture test.

• Herpes virus type 2 neonatal encephalitis in hospital

① Acyclovir

② Famciclovir(Famvir)

③ Or treatment with Valacyclovir (Valtrex) intravenous injection.

④ Sometimes, it is treated with a blood vessel injection made of Vidarabine. Among them, Acyclovia vascular injection treatment is the most used.

출처 및 참조 문헌 Sources and references

• Rarely, the fetus can be infected from the affected area of the maternal external genitalia type 2 herpesvirus infection or from the affected area of the herpes virus infection in the nitric acid canal.