Алгоритм диагностики, тактика ведения беременных. Герпес
The herpes simplex virus can infect women’s’: + Vagina, vulva, urethra, cervix, rectum Vagina, cervix, rectum, vulva Vulva, urethra, rectum Vulva, cervix, urethra Rectum, vulva, vagina The disease is caused by the herpes simplex virus, often occurs: Acutely Subacute + Asymptomatic In a chronic form As a recurrent infection in vulva The risk of neonatal herpes in the world today is: Low Insignificant High + Very high No risk An important role in a viremia with herpes belongs (А.Ф. Пухнер, В.И. Козлова, 2010): + Red blood cells and white blood cells Lymphocytes and leucocytes Platelets and leucocytes Monocytes and neutrophils Eozinofilly The role of red blood cells in chronic herpes infection is (А.Ф. Пухнер, В.И. Козлова, 2010): They are a temporary carrier of the virus In the red blood cells the virus replicates They inactivate the virus + Provides constant of virus The virus prolongs the life of red blood cells The role of leucocytes in chronic herpes infection is: + They fix, but do not inactivate the herpes virus They inactivate herpes virus They lyse the herpes virus They phagocytose virus and reproduce them They rapidly are destroyed by virus How the smear does look like in herpetic infection: Are identified the mast cells Are identified the "key cells" Are identified the "naked" nucleus Are identified the small cells with altered nuclei + Are revealed giant cells with intranuclear inclusions The "Gold standard" for diagnosis of herpes virus is: + Virus isolation in cell culture Infection of chick embryo PCR ELISA Cytological research of smear Herpes simplex virus type II infects: + Mucosae of the urogenital tract Mucosa of the gastrointestinal tract The eyes Bronchial mucosa Vascular endothelium Herpes simplex virus type II are often transferred by: Air - borne + Sexual transmission The contact (through kissing, toys, household items) The vertical path (of organs located below the upper) Postnatally (after labor) Herpes simplex virus type I most often affects: Vascular endothelium Mucosa of the gastrointestinal tract + Skin and eye mucosa, lips, nose, Bronchial mucosa Mucosae of the urogenital tract The incubation period of herpes simplex virus is the average: 2-3 days + 2-14 days 14-21 days 14-30 days From 1 t3 months Herpes simplex virus type II can be isolated from patient ‘s: + content of vesicles, vaginal secretions, semen contents of vesicles, saliva tears, saliva bronchial washings, the contents of the vesicles. saliva contents of vesicles The prevalence of carriers of the herpes virus in Kazakhstan: High + Very High Low Very low Average Is it necessary to examine a pregnant for the presence of herpes virus: + No, because the results do not affect the tactics of Requires pregnant while taking on record Requires up to 2 weeks before giving birth Requires the third trimester of pregnancy Required if a pregnant woman appeared clinical manifestations of infection In which cases is there high risk neonatal herpes infection: + The primary infection of the mother before delivery (up to 2 weeks before delivery) Recurrent infection during pregnancy The carrier of the herpes virus The primary infection of the future father of the baby, when the mother is pregnant The primary infection of the mother at any stage of pregnancy When does during herpes infection raise the question of operative delivery (because the risk of infection a child is 30-50 %) (order of Ministry of Health of the Republic of Kazakhstan № 239 of 07.04.10.): The primary infection of the mother at any stage of the pregnancy + The primary infection of the mother in 2 weeks before labor The primary infection of the mother in 3d trimester of the pregnancy The primary infection of the mother in 3d trimester of the pregnancy Recurrence of the disease in any stage of the pregnancy What medicine is used to treat severe forms of herpes in the pregnancy: Licorice (Glycyrrhiza glabra) Garlic + Acyclovir Olive Leaf Extract Ehinoceya One month old baby has the body temperature 40, the sharp pain in the mouth, salivation, mucous of gums and cheeks hyperemized, bubble elements. Your diagnosis is: Thrush Stomatitis + Herpes infection of the mucous Enterovirus infection Stevens-Jones’s syndrome
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