Infectious Exanthema in Children

Утенкова, Е. О.

doi:10.22627/2072-8107-2018-17-3-57-61

Cited by 3 publications

(4 citation statements)

References 20 publications

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“…In general blood analysis of patients with uncomplicated measles Pokrovska et al (2015) revealed leukopenia with relative lymphocytosis in only 20.9% of adults and 25.7% of children, with no children under one year having leukopenia in any case, most often the normal number of leukocytes with stab neutrophil shifting of leukocyte formula to the left (63.4%). Leukopenia or normocytosis is also reported by Utenkova (2018). Every fifth child with measles showed leukopenia within 4-6 days of the disease onset according to Kramarov et al (2018), Yevtushenko et al (2019).…”

Section: Discussionmentioning

confidence: 92%

“…The rules for serological examination of patients with suspected measles were observed (Utenkova, 2018). The blood serum was selected on days 4-5 from the rash onset, and not later than day 28 from the moment of the rash onset.…”

Section: Methodsmentioning

confidence: 99%

“…In Ukraine, such infectious diseases as measles related to VPDs (vaccine-preventable diseases) do not lose their relevance today because the outbreaks of the infection that began in June 2017 are still far from abating (Orenstein еt al., 2018;Trykhlib еt al., 2018;Utenkova, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Measles elimination means the absence of endemic measles virus circulation in the region for 12 months, with a well-functioning epidemiological surveillance system (Bester, 2016;Gastanaduy et al, 2018). However, in 2017 the number of measles cases grew dramatically again worldwide (Utenkova, 2018;Nozdracheva et al, 2019). In 2017, more than 20,000 cases of measles were reported in Europe, mainly in children (Nickovic et al, 2018(Nickovic et al, , 2019.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology and features of the measles course in children during the outbreak of 2018–2019 in the city of Mariupol

Koniushevska

Parkhomenko

Sharunova³

et al. 2020

Regul. Mech. Biosyst.

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In 2017, Ukraine ranked in the top three among European countries in terms of measles incidence, and ranked first in measles growth in 2018. High morbidity, mortality and development of complications make the problem of knowing features of the measles clinical course, timely diagnosis and active prevention highly relevant. The purpose of the research is to study the dynamics of the incidence and clinical features of measles in children during the outbreak of 2018–2019 in the city of Mariupol, Donetsk region. A peculiarity of the measles outbreak in 2018–2019 in Mariupol is prevalence of the disease in preschool children (60.4%), including 30.2% – those under one year of age; low vaccination rate: 52.3% of children unvaccinated; only 22.2% of children were vaccinated twice, according to the schedule. In all age groups, a moderately severe measles course prevailed (69.8%). The clinical course of measles in preschool and school age children had definitive features. Thus, Belsky–Filatov–Koplik spots were observed three times more frequently in preschool children than in schoolchildren (63.9% and 23.3%, respectively). Abdominal pain and diarrhea were only observed in children under 6 years of age (30.2%). Skin pigmentation was absent in children under one year of age and was detected in preschool and school-age children (69.8%). Skin sloughing was only observed in schoolchildren (10.4%). Severe disease course occurred in patients of all ages (29.3%), but children aged under one year and preschool children with severe disease were two times more numerous than those of the school age. Among the observed complications, the vast majority were associated with the respiratory organs: pneumonia (38.3%), subcutaneous emphysema (1.7%), bronchitis (53.2%), laryngitis (3.3%), otitis media (5%). No fatalities were observed. The city should form a commitment to immunization, restore public trust in vaccination, using all forms and means of information, and develop a program to implement the vaccination schedule into practice.

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Section: Discussionmentioning

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Epidemiology and features of the measles course in children during the outbreak of 2018–2019 in the city of Mariupol

Koniushevska

Parkhomenko

Sharunova³

et al. 2020

Regul. Mech. Biosyst.

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Viral spot exants in children

Ravodin

Ровный

Ermolaeva³

2021

jour

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Эkзантемные Инфекции У Детей: Парвовирусная Инфекция

İbrahimova,

Əhmədova,

Məmmədov

et al. 2024

Azerbaijan Medical Journal

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Məqalədə eksantema ilə gedən əsas uşaqlıq dövrü infeksiyalarından bəhs edilir. Uşaqlarda ekzantemalı xəstəliklərin, o cümlədən parvovirus infeksiyasının etiologiyasına, epidemiologiyasına, klinik təzahürlərinə və diferensial diaqnostikasına dair müasir məlumatlar təqdim edilir. Ekzantemalı xəstəliklərin əksəriyyətinin yüksək yoluxuculuğunu nəzərə alaraq, habelə onların sosial əhəmiyyətinə görə bu xəstəliklərin gedişatının klinik xüsusiyyətlərini bilmək xüsusi əhəmiyyət kəsb edir. Ekzantemanın diferensial diaqnostikası xəstənin ilkin müayinəsi zamanı aparılır və bu müayinə ekzantemalı xəstənin erkən aşkar olunmasına yönəldilir. Parvovirus infeksiyası (PV B19) vacib, lakin hələ də zəif başa düşülən problemdir. Onun klinik təzahürləri müxtəlifdir, bu da digər virus infeksiyaları ilə diferensial diaqnostika tələb edir. 5 və 8 yaşlı 2 oğlan uşağında parvovirus B19 infeksiyasının klinik halları infeksion eritema və “əlcək və corab” sindromu şəklində baş vermişdir. Bu infeksiya üçün ekzantema – yanaqlarda eritema, simmetrik, "torşəkilli", makulopapulyoz, bəzən hemorragik səpgilər xarakterik idi, biləklərdə və topuqlarda 3 həftə davam edən səpgi piqmentasiya və soyulma ilə başa çatdı. Tədqiqatda laborator müayinə üsullarından istifadə məsələləri, infeksiyanın müalicə və profilaktika məsələləri nəzərdən keçirilmişdır. В статье рассматриваются основные детские инфекции, протекающие с синдромом экзантемы. Представлены современные сведения по этиологии, эпидемиологии, клинических проявлениях и дифференциальной диагностике экзантемных заболеваний у детей, в том числе и парвовирусной инфекции. В силу контагиозности большинства инфекционных болезней с экзантемами, а также их социальной значимости особое значение приобретает знание клинических особенностей течения этих заболеваний. Дифференциальная диагностика экзантем проводится при первичном осмотре больного, она направлена на раннее выявление инфекционного заболевания, протекающего с экзантемой. Парвовирусная инфекция (PV B19) представляет собой важную, но все еще малоизученную проблему. Ее клинические проявления разнообразны, что требует дифференциальной диагностики с другими вирусными инфекциями. Описаны клинические случаи парвовирусной В19 инфекции у 2 мальчиков в возрасте 5 и 8 лет, протекавших по типу инфекционной эритемы и синдрома «перчаток и носков». Экзантема была характерной для данной инфекции – эритема на щеках, симметричная, «кружевная», пятнисто-папуллезная, местами геморрагическая сыпь, сливная на запястьях и лодыжках, которая держалась в течение 3 недель и завершилась пигментацией и шелушением. Рассмотрены вопросы использования лабораторных методов исследования, лечения и профилактики инфекции. The article discusses the main childhood infections that occur with exanthema syndrome. Presents modern information on the etiology, epidemiology, clinical manifestations and differential diagnosis of exanthema diseases in children, including parvovirus infection. Due to the contagiousness of most infectious diseases with exanthemas, as well as their social significance, knowledge of the clinical features of the course of these diseases is of particular importance. Differential diagnosis of exanthema is carried out during the initial examination of the patient; it is aimed at early detection of an infectious disease that occurs with exanthema. Parvovirus infection (PV B19) is an important but still poorly understood problem. Its clinical manifestations are varied, which requires differential diagnosis with other viral infections. Clinical cases of parvovirus B19 infection in 2 boys aged 5 and 8 years, which occurred according to the type of erythema infectiosum and “gloves and socks” syndrome, are described. The exanthema was characteristic of this infection – erythema on the cheeks, symmetrical, “lacey”, maculopapular, sometimes hemorrhagic rash, confluent on the wrists and ankles, which lasted for 3 weeks and ended with pigmentation and peeling. The issues of using laboratory methods of research, treatment and prevention of infection are considered.

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Infectious Exanthema in Children

Abstract: The article considers the main childhood infections that occur with the exanthema. Rules for the description of exanthemа, their classification, basic differential-diagnostic symptoms are presented. The article is illustrated with photographs of their author's archive.

Cited by 3 publications

References 20 publications

Epidemiology and features of the measles course in children during the outbreak of 2018–2019 in the city of Mariupol

Epidemiology and features of the measles course in children during the outbreak of 2018–2019 in the city of Mariupol

Viral spot exants in children

Эkзантемные Инфекции У Детей: Парвовирусная Инфекция

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