What is type 5 herpes in children and adults?
Herpes type 5 is known as cytomegalovirus infection, the ailment forms in the human body cells of giant sizes. The disease affects negatively important organs - the liver, kidneys, heart muscle, lungs. Most often, the transmission of the virus is carried out in childhood, the disease is chronic and completely resistant to treatment. In general, the ailment does not carry a serious danger, except for patients with immune system disorders - HIV-positive, patients with oncology, AIDS..
- 1Symptoms of cytomegalovirus
- 2Diagnosis of cytomegalovirus
- 3Treatment of the virus and subsequent prevention
Symptoms of cytomegalovirus.
The disease is often asymptomatic for many years, so a person who has a cytomegalovirus infection in the body may not even know it.
Periodically, there may be signs of latent infection, including:
- general weakness, malaise;
- muscle pain;
- loss of appetite;
- inflammation of the lymph nodes.
In most cases, people do not respond to such symptoms properly, writing off their condition for an easy cold. A few days later, all signs cease.
The acute form of the disease appears against a background of reduced immunity and is called mononucleosis syndrome.
It is characterized by pronounced symptoms, they include:
- intoxication of the body;
- increased body temperature;
- pain in the muscles, general weakness and malaise;
- enlarged lymph nodes.
Symptoms in both children and adults resemble ARVI, the difference lies in their duration. If signs of a cold pass for 5-14 days, in case of an exacerbation of a cytomegalovirus, they torment the patient from 3 to 6 weeks.
Children have the following symptoms:
- change in skin tone, it can become yellow or purple;
- bladder rash all over the body;
- cramps of limbs;
- sharp weight loss.
If no treatment is prescribed at this stage, the disease can progress. In patients with immunodeficiency, there are serious complications - encephalitis, disorders in the work of the nervous system, lung pathology, lethal outcome.
If such symptoms occur, the diagnosis is carried out by a therapist or pediatrician, also the gynecologist, urologist and venereologist deals with this problem. During the activation of the virus, it is necessary to start treatment as soon as possible, because all this time a person actively spreads the disease. During the period of remission cytomegalovirus is also transmitted to other people, but this happens several times less often.
Diagnosis of cytomegalovirus
Since the virus often occurs as in adults, so in children with symptoms resembling a common cold, the diagnosis of herpes includes laboratory methods. First of all, the therapist or the pediatrician conducts an examination of the patient and asks about his health. Having received these data, the doctor appoints further studies.
To find out whether a person is a carrier of cytomegalovirus, an analysis using the PCR method is given.
This diagnosis has a lot of advantages, it includes:
- possibility to detect the disease at the initial stage, it is possible almost immediately after the initial infection;
- high accuracy - doctors say that the PCR method is correct in 98%;
- To reveal herpes it is possible even in the case of latent flow.
The method is based on the study of the DNA of the virus, it is obtained from biological fluids. Most often, blood is collected, vaginal discharge or urethra, but sometimes it is necessary to diagnose amniotic fluid, breast milk, saliva.
There are rules that will ensure the accuracy of the result:
- You can not have breakfast before you donate blood.
- If a swab from the urethra or vagina is given, it is necessary to refrain from urinating for -2 hours before the analysis, it is also desirable to limit sexual activity one day before the study.
- Taking a number of medications, in particular antiviral drugs and antibiotics, in some cases can affect the result, so the acceptance of medications is discussed with the doctor in advance.
In addition to this analysis, a study is conducted to determine the level of antibodies.
His result will show the doctor a more detailed picture of the disease. It will be clear whether a primary outbreak of cytomegalovirus or a relapse of the infection occurs. These data will help the doctor to treat both adults and children more effectively. Often, for the re-activation of the virus, certain medications are prescribed, and in the primary outbreak of the disease, more serious medications are required.
To assess the general condition of the internal organs, children and adults are referred for a general blood and urine test. By themselves, these tests do not indicate the presence of cytomegalovirus. The most important indicators are the level of leukocytes, erythrocytes and ESR. If a doctor does not like something in the results, he will send the patient for further diagnosis, which will show how seriously herpes affected the internal organs.
Treatment of the virus and subsequent prevention.
Therapy with medicinal preparations is not carried out in all cases. The doctor assesses the condition of the patient and then makes a decision about further treatment.
Medication of cytomegalovirus is necessary for children and adults in the following cases:
- if the virus had a negative effect on the internal organs, resulting in other diseases. Such complications are often found if not one infection rages in the body;
- when a pregnant woman is first infected, herpes puts in jeopardy the health and life of the fetus. A prolonged infection can cause pathological disturbances, discontinuation in the development of the child or spontaneous miscarriage;
- if the patient suffers from an immunodeficiency against a background of a serious disease;
- with complicated flow of cytomegalovirus.
For children and adults prescribe drugs 5 groups - antiviral, immunomodulating, immunoglobulins, symptomatic and posindrome drugs.
A doctor can prescribe a scheme that includes medications of each type or be limited to medicines of 2-3 groups. Treatment depends on the course of cytomegalovirus infection.
In a number of cases, hospitalization and further therapy in hospital settings are required. The hospital falls to young children, as well as patients with complicated forms of herpes.
Treatment in the hospital is more effective, because a doctor can monitor the patient's health a day. Another plus of therapy in the hospital is limited contact with people. During the activation of cytomegalovirus, a person actively "shares" his infection with others, while lying in a hospital the circle of communication narrows sharply.