Slučaj vodenih kozica s komplikacijom postinfektivne trombocitopenične purpure
Autor: | Smiyan Oleksandr Ivanovich, Bynda Tetiana Parfenivna, Smiian Kateryna Oleksandrivna, Manko Yulia Anatolievna |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: | |
Zdroj: | Paediatria Croatica Volume 63 Issue 3 |
ISSN: | 1846-405X 1330-1403 |
Popis: | Idiopathic thrombocytopenic purpura is a rare but serious complication of chickenpox. The purpose of this report is to describe a case of varicella-related complications of post-infectious idiopathic thrombocytopenic purpura, with a brief review of the literature related to varicella-related haemorrhages, and to determine the specific features of treatment of such children. A 5-year-old unvaccinated boy was admitted to the hospital for infectious diseases on the 7th day of illness. It was found that on the 5th day of the disease onset, crusts and haemorrhagic rashes measuring 10x10 mm appeared on the skin of the child. Then, on the 6th day of the disease, multiple blood exudates of various shapes and sizes (from 1 mm to 30 mm in diameter) and two episodes of nose bleeding appeared. Blood test showed a platelet count of 9.0x109/L. Intravenous immunoglobulin was administered to the child for treatment. The child was discharged from the hospital in a satisfactory condition on the 6th day of treatment. There was no recurrence of the disease within 1 year after the illness. Thus, taking into account the positive effect of the use of intravenous immunoglobulin in post-infectious idiopathic thrombocytopenic purpura, it can be recommended to be used in this condition. However, additional studies are needed to clarify the mechanisms of development of this complication. It is possible to prevent the disease and its serious consequences by vaccinating children against chickenpox. Idiopatska trombocitopenična purpura je rijetka, ali ozbiljna komplikacija vodenih kozica. Namjera ovoga prikaza je opisati slučaj s vodenim kozicama povezane komplikacije postinfektivne idiopatske trombocitopenične purpure, uz kratak pregled literature o krvarenjima povezanim s vodenim kozicama te utvrditi specifične značajke liječenja takve djece. Petogodišnji necijepljeni dječak primljen je u bolnicu za zarazne bolesti 7. dana bolesti. Utvrđeno je da su se kraste i hemoragični osip veličine 10x10 mm pojavili na djetetovoj koži 5. dana od nastupa bolesti. Potom se 6. dana bolesti pojavilo više krvnih eksudata raznih oblika i veličina (promjera od 1 mm do 30 mm) i krvarenje iz nosa u dva navrata. Krvne pretrage pokazale su broj trombocita od 9,0x109/L. Dijete je liječeno intravenskim imunoglobulinom. Dijete je otpušteno iz bolnice 6. dana liječenja u zadovoljavajućem stanju. Nije bilo recidiva bolesti u godinu dana od nastupa bolesti s komplikacijama. Stoga, uzimajući u obzir pozitivan učinak primjene intravenskog imunoglobulina u liječenju postinfektivne idiopatske trombocitopenične purpure, njegova se primjena može preporučiti za ovo stanje. Međutim, daljnja istraživanja su potrebna kako bi se razjasnili mehanizmi razvoja ove komplikacije. Vodene kozice i njihove ozbiljne posljedice moguće je spriječiti cijepljenjem djece protiv ove bolesti. |
Databáze: | OpenAIRE |
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