Preview

CHILDREN INFECTIONS

Advanced search

The nature of lesions of the central nervous system in infections, caused by Varicella Zoster virus

https://doi.org/10.22627/2072-8107-2023-22-4-39-42

Abstract

Varicella Zoster virus can cause damage to the nervous system, more often in the form of meningitis and meningoencephalitis.

Purpose: to identify the nature of damage to the central nervous system during infections caused by the Varicella Zoster virus. Materials and methods. The article presents the literature data and the results of own observations of 47 patients treated at the Infectious Diseases Clinical Hospital of Yaroslavl in the period from 2015 to 2021. There were 20 children (42.6%) aged from 18 days to 12 years with chickenpox. There were 27 (57.4%) patients with Herpes Zoster, of which 20 (74.1%) were adults aged 24 to 82 years, 7 (25.9%) were children aged 4 to 14 years. Results. The main clinical and laboratory indicators were analyzed, the features of central nervous system lesions caused by the Varicella Zoster virus were revealed, and the medical and social significance of this problem was confirmed. Among the patients, patients with Herpes Zoster predominated — 27 (57.4%). Meningitis (45.0%), meningoencephalitis (30.0%) and encephalitis (25.0%) were recorded in children with chickenpox. In children with Herpes Zoster, meningoencephalitis predominated (71.4%), while in adults - meningitis (65.0%); there were no encephalitis. There were no deaths, 14.9% of patients were transferred to the neurological department, 85.1% were discharged as outpatients.

About the Authors

S. N. Eshmolov
Yaroslavl State Medical University of the Ministry of Health of the Russian Federation
Russian Federation

Eshmolov S., PhD

Yaroslavl



E. G. Klimovitskaya
Yaroslavl State Medical University of the Ministry of Health of the Russian Federation
Russian Federation

Klimovitskaya E., PhD

Yaroslavl



M. N. Kuzmina
Yaroslavl State Medical University of the Ministry of Health of the Russian Federation
Russian Federation

Kuzmina M., PhD

Yaroslavl



I. G. Sitnikov
Yaroslavl State Medical University of the Ministry of Health of the Russian Federation
Russian Federation

Sitnikov I., MD, Professor

Yaroslavl



References

1. Kuzminykh O.V., Bozbalaeva M.Zh., Lyubimtseva O.A., Beltikova A.A. Viral meningoencephalitis of mixed etiology (cytomegalovirus and Epstein-Barr), with fatal outcome. University Medicine of the Urals. 2021; 7,№2(25):32— 34. (In Russ.)

2. Nagornaya A.V., Doskal E.Yu., Kondrashova Yu.L. [et al.]. Features of cytokine status in meningoencephalitis of herpetic etiology in patients with HIV infection. Allergology and Immunology. 2017; 18(1):55—56. (In Russ.)

3. Maksimova M.Yu. Neurological disorders in herpes zoster. MedicaMente. Lechim s Umom. 2017; 3(1):21—24. (In Russ.)

4. Vikulov G.H., Maksimova M.Yu., Voznesensky S.L. [et al.]. Herpes zoster: epidemiology, clinic, algorithms for diagnosis, treatment and prevention. Infectious Diseases. 2019; 17(2):105—120. (In Russ.) DOI:10.20953/1729-9225-2019-2-105-120

5. Nikolaeva S.V., Pogorelova O.O., Khlypovka Yu.N., Gorelov A.V. Vaccinoprophylaxis of chickenpox: the relevance of the problem. Meditsinskiy sovet. 2020; 10:28—33. (In Russ.) DOI:10.21518/2079-701X-2020-10-28-33

6. Federal service for supervision of consumer rights protection and human welfare. Federal center for hygiene and epidemiology. Information about infectious and parasitic diseases in the Yaroslavl region for January-December 2015—2021. (In Russ.)

7. Belyaletdinova I.Kh., Malinnikova E.Yu., Mitrofanova I.V., Prytkova M.I. Nervous system lesions caused by the Varicella-Zoster virus in children. Detskie Infektsii = Children's Infections. 2016; 15(3):10—15. (In Russ.) doi.org/10.22627/2072-8107-2016-15-3-10-15

8. Kramar L.V., Bokova Z.M., Mylnikova M.M., Torshkhoeva L.A. Chickenpox encephalitis in children: clinical and laboratory characteristics. Volgograd Scientific and Medical Journal. 2019; 1:42—45. (In Russ.)

9. Skripchenko E.Yu., Lobzin Yu.V., Palchik A.B., Ivanova G.P., Murina E.A., Skripchenko N.V. Neurological complications and prognosis of their development in chickenpox in children. Pediatriya im. G.N. Speranskogo. 2016; 95(2):14—21. (In Russ.)

10. Eshmolov S.N., Klimovitskaya E.G., Kuzmina M.N., Sitnikov I.G. Lesions of the nervous system in herpesvirus infections. Detskie Infektsii=Children's Infections. 2022; 21(4):15—20. (In Russ.) doi.org/10.22627/2072-8107-2022-21-4-15-20

11. Ryumin A.M., Sobchak D.M., Otmakhova I.A., Saburova O.A. Neurological manifestations of reactivation of herpes zoster virus. Žurnal infektologii=Journal of Infectology. 2022; 14(1):31—42. (In Russ.) doi.org/10.22625/2072-6732-2022-14-1-31-42


Review

For citations:


Eshmolov S.N., Klimovitskaya E.G., Kuzmina M.N., Sitnikov I.G. The nature of lesions of the central nervous system in infections, caused by Varicella Zoster virus. CHILDREN INFECTIONS. 2023;22(4):39-42. (In Russ.) https://doi.org/10.22627/2072-8107-2023-22-4-39-42

Views: 389


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2072-8107 (Print)
ISSN 2618-8139 (Online)