2024, Number 1
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Enf Infec Microbiol 2024; 44 (1)
Clinical characterization of pediatric patients with herpes virus infection
Duque EL, Martínez-Sánchez LM, Aránzazu CAD, Trujillo HMR, Saavedra VME, Flórez CLM
Language: Spanish
References: 17
Page: 13-16
PDF size: 166.50 Kb.
ABSTRACT
Background. Herpes constitutes a large family of double-stranded deoxyribonucleic acid viruses. Serotypes 6a
and 6b are part of the subfamily that cause infections during the first years of life, between six months and two
years of age, due to the decrease in maternal antibodies, they also have a greater tropism for the central nervous
system and they are responsible for the neurological compromise in most cases.
Materials and methods. A retrospective descriptive study was carried out with patients under 18 years of age
diagnosed with herpes virus infection. A non-probabilistic sampling of consecutive cases was carried out.
Results. 56 patients infected by herpes virus were included. The most frequent age was six years, with a predominance
of the male sex with 53.6%. The main cause of immunosuppression was cancer, the most frequent
being acute lymphoblastic leukemia with 14%. The predominant clinical presentation at the time of diagnosis
was fever without focus with 21.4%. The diagnosis was clinical in 46.4% and the main treatment was acyclovir
in 46.4%.
Conclusions. The herpes virus mainly affects immunosuppressed male pediatric patients as in acute lymphoblastic
leukemia. The diagnosis is mainly clinical in this pathology, without the use of paraclinical tests for confirmation,
which makes it difficult to identify the subtype of virus that causes the disease, therefore it is important to
emphasize the implementation of accurate diagnostic methods that allow improving the diagnosis, management
and quality of life of patients
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