HSV-I IgG /IgM Ho'āʻo wikiwiki

1. Hoʻomaʻamaʻa kino
Wahi a nā hōʻike maʻamau o ka ʻili a me ka mucous membrane herpes, i hui pū ʻia me kekahi mau mea predisposing, hoʻouka hou a me nā ʻano ʻē aʻe, ʻaʻole paʻakikī ka maʻi maʻi.Eia nō naʻe, paʻakikī ka ʻike ʻana i ka herpes ʻili i loko o ka cornea, conjunctiva, ka hohonu hohonu (e like me ka genital tract, urethra, rectum, etc.), herpetic encephalitis, a me nā maʻi visceral ʻē aʻe.
ʻO ke kumu o ka maʻi maʻi o ka herpetic encephalitis a me ka maningoencephalitis: ① nā hōʻailona o ka encephalitis acute a me ka maningoencephalitis, akā ʻaʻole kākoʻo ka moʻolelo epidemiological i ka encephalitis B a i ʻole encephalitis nahele.② ʻO nā hōʻike ʻana o ka wai cerebrospinal viral, e like me ka wai cerebrospinal koko a i ʻole ka nui o nā ʻulaʻula ʻulaʻula i ʻike ʻia, manaʻo nui e hiki mai ka maʻi.③ Ua hōʻike ʻia ka palapala ʻāina lolo a me ka MRI aia ka nui o nā ʻeha ma ka lobe mua a me ka lobe kino, e hōʻike ana i ka pōʻino asymmetric diffuse.
2. ʻO ka hōʻoia ʻana o ka Laboratory
(1) ʻO ka nānā ʻana i ka microscopic o ka ʻōpala a me ka biopsy tissue samples mai ke kumu o ka herpes i hōʻike i nā cell multinucleated a me nā eosinophilic inclusions i loko o ka nucleus e ʻike ai i nā maʻi herpes, akā ʻaʻole hiki ke hoʻokaʻawale ʻia mai nā herpesviruses ʻē aʻe.
(2) He maikaʻi ka ʻike ʻana o ka HSV kikoʻī IgM antibody, he mea kōkua ia no ka ʻike ʻana i ka maʻi hou.Hiki ke hōʻoia ʻia ka maʻi maʻi ke piʻi aʻe ka titer IgG kikoʻī ma mua o 4 mau manawa i ka wā hoʻōla.
(3) Hiki ke hōʻoia ʻia ka ʻike maikaʻi o ka HSV DNA e RT-PCR.
Paʻa no ka hōʻoia ʻana o ka maʻi HSV encephalitis a me ka maningoencephalitis.② Ua maikaʻi ka CSF no ka DNA viral.③ Titer IgG kiko'ī maʻi virus: ratio serum/CSF ≤ 20. ④ I ka CSF, ua hoʻonui ʻia ka titer IgG kikoʻī ma mua o 4 mau manawa i ka wā hoʻōla.E ho'oholo 'ia ka encephalitis HSV a i 'ole ka meningoencephalitis inā loa'a kekahi o nā mea 'ehā.