PDF(Pubmed)
Abstract：
Enteroviruses are among the most common causes of acute viral illness worldwide, and in neonates, the clinical course of these infections is heterogeneous. Severe complications, such as myocarditis, are associated with high mortality rates. In this case report, we present the clinical course of premature twins born at 35 weeks of gestational age, suffering from a severe neonatal enterovirus infection with cardiac involvement, which proved fatal in one of the twins. This course led to prompt identification in the other twin and facilitated timely transfer to a neonatal intensive care unit with neonatal hemodynamic expertise, and facilitated the timely transfer to a neonatal intensive care nit with hemodynamic expertise and immediate availability of AZCMO would it have been indicated. Early supportive therapy in the other twin contributed to a positive outcome. Therefore, we emphasize the importance of early recognition in averting adverse consequences. As a recommendation, we propose routine screening of enterovirus in viral panels for febrile newborns.
摘要：
肠道病毒是全球急性病毒性疾病的最常见原因之一。在新生儿中，这些感染的临床过程是异质的。严重并发症,比如心肌炎,与高死亡率有关。在这个案例报告中,我们介绍了胎龄35周时出生的早产双胞胎的临床过程，患有严重的新生儿肠道病毒感染并累及心脏，其中一对双胞胎被证明是致命的。该课程导致迅速识别另一对双胞胎，并促进及时转移到具有新生儿血液动力学专业知识的新生儿重症监护病房。并促进及时转移到具有血液动力学专业知识的新生儿重症监护室，并立即获得AZCMO。另一对双胞胎的早期支持疗法有助于获得积极的结果。因此,我们强调及早认识对避免不良后果的重要性。作为一个建议,我们建议在发热新生儿的病毒面板中常规筛查肠道病毒。
