Редкие инфекции перинатального периода

Врожденные вирусные инфекции — одна из актуальных проблем современной неонатологии. Виремия, как одна из стадий инфекционного процесса, обуславливает антенатальное гематогенное инфицирование плода с высоким риском поражения различных органов и систем. Наиболее частыми проявлениями врожденных вирусных инфекций являются: задержка внутриутробного развития (ЗВУР), микро- или макроцефалия, гидроцефалия, гепатоспленомегалия, пневмония, костные поражения, экзантема и гематологические отклонения. Несмотря на неспецифичность клинических проявлений, выявление этиологического фактора нередко является необходимым этапом для определения дальнейшей тактики ведения новорожденного. Материалы и методы: проведен обзор наиболее актуальной отечественной и зарубежной литературы о вирусе лимфоцитарного хориоменингита (ЛХМВ) и вирусе Зика. Результаты: врожденные инфекции, обусловленные ЛХМВ и вирусом Зика, обладают сходными клиническими проявлениями. Лабораторные и инструментальные методы исследования позволяют провести дифференциальную диагностику, определить прогноз и тактику ведения пациента.

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