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616-018.1-092:578.245-078:618.1 (1) |
Patologie. Medicină clinică (6994) |
Virologie (445) |
SM ISO690:2012 CERNEŢCHI, Olga, AGOP, Silvia, SÂRBU, Zinaida. Infecţia herpetică asimptomatică la ginecopate. In: Buletin de Perinatologie, 2018, nr. 3(79), pp. 71-74. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 3(79) / 2018 / ISSN 1810-5289 | ||||||
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CZU: 616-018.1-092:578.245-078:618.1 | ||||||
Pag. 71-74 | ||||||
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Actuality: Herpes infection level increasing in thelast 10 years is connected with asymptomatic non-diagnostic form. According to multiple references, asymptomatic herpes infection (AHI) ranges from 42 to 68% and remains difficult to diagnose due to the lack of characteristic herpetic eruptions. Evolution of AHI at women isinstable, clinical symptoms frustrated, and in these cases symptoms are similar with symptoms of other pathologies. Herpes simplex virus persists in sacral ganglia, it can affect bladder and uterus nerves and clinically manifests by: inguinal lymphadenopathy, dysuria, hyperpolimenory, pseudo fl u, aqueous leucorrhea, acute urinary retention. AHI diagnosis is difficult because clinical signs are obscure, and the patients were frequently given symptomatic treatment. According to the special literature, antiviral therapy remains the medication of choice in AHI. Objective of the study. Determination of the most frequent clinical manifestations of AHI at women and therapeutic approach in these cases. Materials and methods. Prospective study over 2 years (2016-2017) in the IMSP SCM No.1 based on the analysis of 67 clinical cases of women diagnosed with AHI. Diagnosis was established by assessing antiherpesIgM and IgG, positive polymerase chain reaction permit to fi nd viral AND and avidity test. Treatment administered: Tab. Uviromed 500 mg 2 times per day, 5-10 days. Results and conclusions: According to the data obtained in the study, these 67 women with AHI were between 18 and 47 years old (39,2 ± 2,8). The clinical signs had the following structure: dysuria was placed fi rst with an incidence of 20 (29,8%) cases, then hyperpolimenory with 19 (28,3%) cases, inguinal lymphadenopathy was assessed in 10 (14,9%) cases, pseudo fl u was estimated in 8 (11,9%) cases, aqueous leucorrhea in 13 (19,4%) cases, and 1 case (1.4%) of acute urinary retention. Clinical signs decreased after antiviral treatment within 2-8 days (average 4-5 days). Dysuria and hyperpolimenory remain the basic clinical sign of asymptomatic forms of genital herpes. Therapeutic efficacy was estimated as a result of antiviral therapy: tab. Uviromed, resulting in cessation of signs in 4-5 days |
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Cuvinte-cheie asymptomatic herpes infection, women, dysuria, hyperpolimenory, Uviromed. |
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