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616.2-002-02:615.37-053.2 (1) |
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SM ISO690:2012 TOMACINSCHI, Cristina, SELEVESTRU, Rodica, PETROVICI, Virgil, ŞCIUCA, Svetlana. Caracteristici etiologice ale infecțiilor respiratorii la copii cu imunodeficențe primare. In: Buletin de Perinatologie, 2018, nr. 5(81), pp. 17-21. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 5(81) / 2018 / ISSN 1810-5289 | ||||||
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CZU: 616.2-002-02:615.37-053.2 | ||||||
Pag. 17-21 | ||||||
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Actuality: Primary immunodefi ciency is a heterogeneous group of genetic disorders of immune system. Main clinical manifestation are recurrent and chronic infections of the respiratory system in combination with autoimmunity, lymphoproliferative disorders and malignancies. Since respiratory disturbances are a signifi cant cause of morbidity and the leading cause of death (30-65%) in children and adults with PID. The etiological spectrum involved in respiratory system infections is varied with a specifi city depending on defect in immunity. The treatment requires precision, being targeted against the pathogen involved, in combination with the substitution treatment, which is an essential element in the management of the disease that determines the prognosis. Material and methods. This article presents the clinical and exploratory results of 11 children diagnosed with primary immunodefi ciency. To determine the microorganisms involved in the etiology were used: bacteriological examination of sputum and pharyngeal secretions, examination of pharyngeal smear, microscopic examination of pharyngeal secretion, as well as some serological tests. Results. We evaluated 11 patients, 4 of them with humoral immunodefi ciency, 1 patient with cellular immunodefi ciency and 6 with combined immunodefi ciency. All patients presented with respiratory infections. Diff erent methods of diagnosis were used in patients to determine etiology, that was mixed in most cases, like bacteria, viruses and fungi. The leading place is held by the bacterial etiology of 58.9%, followed by fungal association 29.4% and viral 11.7%. As a result of the bacteriological examination, both G + and G- germs were determined. One of the patients with Wiskot Aldrich syndrome was diagnosed with Pneumocistisjiroveci infection after the microscopic examination of the pharyngeal secretions. In all patients in the study, was detected Candida albicans and CMV infectionsin 2 of the patients Conclusion: Primary immunodefi ciency in children evolves with severe respiratory infections, with mixed and resistant etiology and opportunistic germs, which causes major risk of death. |
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Cuvinte-cheie imunodefi ciency, children, infection, etiology, иммунодефицит, дети, инфекция, этиология |
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