지카 바이러스 감염병
원인과 역학
- 지카 바이러스는 1947년에 아프리카에서 처음 발견됐고 1975년에 미국애서도 발견됐다. 그후 부라질, 극동자역 등에서도 발견됐다
- 지카 바이러스 감염으로 생기는 바이러스 감염병이다.
- 모기에 물리면 이 병이 발생할 수 있다. 수혈로도 감염된다 .
- 성교를 통해 감염될 수 있다고.
- 지카바이러스 감염병에 걸린 산모로부터 테아에게 감염될 수 있다.
- 아프리카, 동남아시아, 태평양군도, 아메리카, 포트리코 등 전세계 각 지역에서 발병되고 있다. 미국에서도 발병됐다.
- 그러나 미국에서는 외국에 여행하고 돌아온 여행자에게서 발병된 예는 있다.
- 이 바이러스 감염병은 몇 10년 전에 이미 발생해서 알려진 감염병이다.
증상 징후
- 감염되면 무증상이든지 열, 피부발진, 두통, 관절통, 결막염 등이 경도로 나타날 수 있다.
- 이런 증상 징후들이 여러 날 동안 또는 1주 동안 계속될 수 있다.
- 병원에 입원할 정도로 심한 증상 징후가 생기는 경우는 드물다.
- 그러나 임신부가 이 바이러스에 감염되면 태아에게 선천성 신경계 기형이 생길 수 있다.그리고 지카 바이러스에 감염돼었으나 아무증상이 없는 임신부도 태아에게 이 바이러스를 감염시킬 수 있다.
- 특히 브라질에서 임시부가 이 바이러스에 감염된 후 태아 기형이 생겨 그에 관한 연구를 하고 있는 중이다.
- 특히 임신부가 이 바이러스에 감염되면 태아에게 소두증이 생길 수 있고 그외 다른 뇌 이상이 생길 수도 있다.
- 지카 바이러스 감염으로 Guillain-Barre’ 증후군이 생길 수 있다.
진단
- 병력, 증상 징후, 진찰소견, 혈액검사, 항체 항원검사 등으로 진단한다. 핵산 검사, IGM 혈청 검사로 진단하기도 한다.
치료
- 대증치료를 한다.
예방
- 예방접종약은 없다.
- 모기에 물리지 않게 곤충 퇴치제를 이용한다.
- 그리고 모기에 물리지 않게 옷을 잘 입는다.
- 특히 임신부는 지카 바이러스에 감염되지 않게 임신 중 지카 바이러스를 매개 하는 모기가 있는 나라로 예행가지 않는다. 그리고 성교를 통해 지키 바이러스에 감염되지 않개 주의한다.
Rubella during pregnancy and Zika virus infection 임신 중 풍진 과 지카 바이러스 감염
After the fetus is infected with the rubella virus, symptoms of rubella may develop in a newborn baby after birth. Source-CDC
Rubella is a type of viral infectious disease caused by infection with the rubella virus. Children and adults who have never been infected with the rubella virus or who have never been vaccinated against rubella after birth can easily become infected with the rubella virus and get rubella.
When pregnant women who are not immune to rubella virus infection become infected with the rubella virus from 2-3 weeks before pregnancy to the end of the third month after pregnancy, the fetus can also become infected with the rubella virus.
When a fetus gets rubella, it can cause birth defects in various parts of the body, including the brain, heart, eyes, and ears.
In addition, when the fetus is infected with the rubella virus or other types of viruses, the fetus can contract a congenital viral epidemic.
You need to be especially careful to avoid getting any kind of infectious disease during pregnancy.
Pregnant women should be very careful not to get close to people suffering from rubella or other types of viral or bacterial infectious diseases, and to avoid contact with people suffering from infectious diseases.
If a pregnant woman herself or any member of her family has rubella or any other type of infectious disease, she should inform her doctor immediately.
Nowadays, most children and adult women are already immune to rubella virus infection, as all children receive a primary rubella vaccine when they are 12-15 months old and a second rubella vaccine when they are 4-5 years old. Because of this, most pregnant women do not get rubella during pregnancy.
Women who have not been vaccinated against rubella as recommended and who have not had a history of rubella before pregnancy should be vaccinated against rubella 3 months before pregnancy.
However, do not receive rubella vaccination from 3 months before pregnancy until delivery. do.
Pregnant women who have had rubella in the past or who have been vaccinated against rubella do not get rubella, and the fetus usually does not get rubella.
During regular pregnancy check-ups during pregnancy, the rubella immune system is routinely tested to determine whether the pregnant woman has had rubella in the past, has been vaccinated against rubella, and has a rubella immune system that can resist rubella virus infection. If a pregnant woman gets rubella, it can cause a rash on the skin, a mild fever, and swollen lymph nodes.
If a pregnant woman gets rubella in the first month of pregnancy, there is a 50% chance that the fetus will be infected, and if it takes 3 months, the fetus is 10% likely to be infected. There is no special effect.
Zika virus infection during pregnancy
Causes and Epidemiology
It is a viral infection caused by Zika virus infection.
Mosquito bites can cause this disease. It is also infected by blood transfusion.
You can get infected through sexual intercourse. Thea can be infected by a mother with a Zika virus infection.
Outbreaks are occurring in Africa, Southeast Asia, the Pacific Islands, the Americas, and Puerto Rico. The outbreak has also occurred in the United States.
However, in the United States, there are cases of outbreaks in travelers who have traveled abroad and returned. This viral infectious disease is a known infectious disease that occurred several decades ago.
Symptoms signs
When infected, asymptomatic or mild fever, skin rash, headache, joint pain, and conjunctivitis may appear.
Symptoms of these symptoms may persist for several days or for a week. In rare cases, symptoms are severe enough to be admitted to the hospital.
However, if a pregnant woman is infected with the virus, it can cause congenital nervous system malformations in the fetus, and even pregnant women who have been infected with the Zika virus but have no symptoms can infect the fetus with the virus.
In particular, the Ministry of Provisional Affairs in Brazil is conducting research on fetal malformations after being infected with this virus.
In particular, if a pregnant woman is infected with this virus, microcephaly can occur in the fetus and other brain abnormalities can occur.
Guillain-Barre’s syndrome caused by Zika virus infection is being studied.
Diagnosis
Diagnosis is based on medical history, symptom signs, examination findings, blood tests, and antibody-antigen tests.
Treatment
Symptomatic treatment is performed.
prevention
There are no vaccination drugs.
Use an insect repellant to prevent mosquito bites.
Also, dress well to prevent mosquito bites.
In particular, pregnant women do not travel to countries with mosquitoes that carry the Zika virus during pregnancy to prevent infection with the Zika virus.
And be careful not to be infected with the virus by keeping it through sexual intercourse.
참조 무헌 및 소스
- Zika virus infection, After Pandemic, The NEJM, 10/10 2019
- HARVARD MEDICAL SCHOOL, INFECTIOUS DISEASES IN PRIMARY CARE OCTOBER 14-16, 2015
- Red Book 30th edition 2015
- Nelson Pediatrics Textbook 19th Ed
- The Harriet Lane Handbook 19thed
- MMWR 2015
- Pediatrics Official Journal of American Academy of Pediatrics 2015
- JAMA Journal of American Medical Association 2015
- NEJM Journal Watch 2015
- CDC
- AAP News 5/2016
- AAP News 6/2017
Copyright ⓒ 2020 John Sangwon Lee, MD., FAAP
“부모도 반의사가 되어야 한다”-본 사이트의 내용은 여러분들의 의사로부터 얻은 정보와 진료를 대신할 수 없습니다.
“The information contained in this publication should not be used as a substitute for the medical care and advice of your doctor. There may be variations in treatment that your doctor may recommend based on individual facts and circumstances.
“Parental education is the best medicine.“