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成人腺病毒7型感染的临床特征分析

Clinical features analysis of adenovirus type 7 infection in adults

  • 摘要:
    目的 分析成人腺病毒(human adenovirus,HAdV)7型感染的临床特征,感染后炎症指标变化,为腺病毒感染的防控和临床诊疗提供参考。
    方法 纳入所有暴露的524名成人,RT-PCR检测ADV核酸,连续监测30 d,对血常规、降钙素原和淋巴细胞亚群进行统计分析。
    结果 累计73例HAdV-7感染者,均为男性,年龄19~33岁。临床症状以发热(100.0%)、咽痛(68.5%)为主。感染组白细胞计数、PCT升高,总CD3+T细胞和CD3+CD4+T细胞比例,CD4/CD8比值均降低,差异均有统计学意义(P<0.05)。感染第6天WBC达最高值,第3天PCT达最高值,第3、6、9天总CD3+T细胞、CD3+CD4+T细胞比例和CD4/CD8比值逐渐降低(P<0.05)。
    结论 HAdV-7感染发病急,以发热、咽痛症状为主,WBC、PCT、淋巴细胞亚群随病情发展改变。

     

    Abstract:
    Objective To analyze the clinical characteristics and related laboratory indexes changes of patients with human adenovirus-7 (HAdV-7) infection, and the changes of white blood cell, procalcitonin and lymphocyte subpopulations after infection, so as to provide reference for the prevention and control of adenovirus infection and clinical diagnosis and treatment.
    Methods All the exposed 524 adults were included, the HAdV-7 nucleic acid was detected by reverse transcription polymerase chain reaction and the clinical characteristics, blood routine indexes, procalcitonin and lymphocyte subgroups were statistically analyzed for 30 d.
    Results A total of 73 infected patients with HAdV-7 were male and 19-33 years old. The main clinical symptoms were fever (100.0%) and pharyngeal pain (68.5%). In the infection group, white blood cell count and PCT increased, and the proportions of total CD3+T cell and CD3+CD4+T cell and the ratio of CD4/CD8 decreased, and the difference was statistically significant (P < 0.05). The highest value of WBC was at day 6, the highest value of PCT was at day 3, the total CD3+T cells in the 3rd, 6th and 9th day, the ratios of CD3+CD4+T cells and the CD4/CD8 decreased (P < 0.05).
    Conclusion HAdV-7 infection is onset of acute, the main symptom is fever and sore throat. WBC, PCT and lymphocyte subsets change with the progression of the disease.

     

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