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麻疹感染

最后审阅: 12 Nov 2024
最后更新: 02 Jul 2024

小结

定义

病史和体格检查

关键诊断因素

  • 可能与麻疹患者有接触
  • 未接种疫苗/未全程接种的个人
  • 发热
  • 咳嗽
  • 鼻炎
  • 结膜炎
  • 科氏斑
  • 斑丘疹
完整详情

危险因素

  • 暴露于麻疹病毒
  • 无前期麻疹免疫接种
  • 对麻疹疫苗无反应
完整详情

诊断性检查

首要检查

  • 血清学麻疹特异性IgM和IgG(ELISA)检测
  • 口腔液
完整详情

需考虑的检查

  • 麻疹特异性 IgG 的急性期和恢复期血清
  • 通过 PCR 检测麻疹 RNA
  • 荧光抗体法或PCR技术检测抗原
  • 从组织培养体系中分离病毒
完整详情

治疗流程

急症处理

所有患者

撰稿人

作者

Elizabeth Barnett, MD

Professor of Pediatrics

Boston University School of Medicine

Boston Medical Center

Boston

MA

利益声明

EB receives clinical trial funds from Pfizer (COVID, PCV20, and RSV vaccines) and GSK (MMRV vaccine). She receives royalties from Elsevier (Immigrant Medicine), AAP (Nelson's antimicrobial therapy), and honoraria from AAP (Red Book). She participated in an Advisory Board (Sobi, RSV).

同行评议者

Sharon Nachman, MD

Professor of Pediatrics

Division Chief Pediatric Infectious Disease

State University of New York at Stony Brook

Stony Brook

NY

利益声明

SN declares that she has no competing interests.

Linda Nield, MD, FAAP

Professor of Pediatrics

West Virginia University School of Medicine

Morgantown

WV

利益声明

LN is an author of a reference cited in this topic.

Aisha Sethi, MD

Assistant Professor of Medicine

Associate Residency Program Director

University of Chicago

Chicago

IL

利益声明

AS declares that she has no competing interests.

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