#1
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Ïîìîãèòå èíòåðïðåòèðîâàòü àíàëèç êðîâè äëÿ ïîñòàíîâêè äèàãíîçà
Çäðàâñòâóéòå, óâàæàåìûå äîêòîðà!
Ðåá¸íîê äåâî÷êà, 7 ëåò (ïðàêòè÷åñêè 8). Ðîñò 130 ñì, âåñ 23 êã. Çàáîëåëà 5 ìàÿ. Íà÷àëñÿ ïîñòåïåííûé ïîäú¸ì òåìïåðàòóðû áåç äðóãèõ ñèìïòîìîâ. Íà ñëåäóþùèé äåíü òåìïåðàòóðû áûëà óæå 39,8. Ñáèâàëè Íóðîôåíîì. 8 ìàÿ íà òåëå íà÷àëà ïîÿâëÿòüñÿ ñûïü. Òåìïåðàòóðà ïðè ýòîì íå ñïàäàëà. Ñåãîäíÿ îíà óâåëè÷èëàñü. Ïðè î÷íîì îñìîòðå âðà÷ ñêàçàëà, ÷òî ñûïü ïîõîæà íà ñêàðëàòèíó. Ñäåëàëè ñòðåïòîòåñò, îí îêàçàëñÿ îòðèöàòåëüíûì. Ñåãîäíÿ ñäàëè êðîâü è ìî÷ó. Ðåçóëüòàòû àíàëèçà ïðèëàãàþ. Ïîìîãèòå ïîæàëóéñòà ïîíÿòü, ñêàðëàòèíà ýòî èëè ÷òî-òî èíîå? Ñèíäðîì Êàâàñàêè? Ìîíîíóêëåîç? |
#2
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ïîõîæå íà ìîíîíóêëåîç ïî îàê:
-óâåëè÷åíèå êîëè÷åñòâà àòèïè÷íûõ ìîíîíóêëåàðîâ ïðè 10% è áîëåå (ó ðåáåíêà ðåàêòèâíûå ëèìôîöèòû, ÷òî ñèíîíèìû) https://forums.rusmedserv.com/showthread.php?t=270938
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#3
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Âàäèì Âàëåðüåâè÷, ñïàñèáî, ÷òî îáðàòèëè âíèìàíèå íà ìîþ òåìó.
Ìîíîíóêëåîçîì äî÷êà áîëåëà â îêòÿáðå 2023 ãîäà. Ñêàæèòå ïîæàëóéñòà, òàêàÿ ñûïü ìîæåò áûòü ïðè ìîíîíóêëåîçå? Ïî âèäó îíà íàïîìèíàåò ñûïü ïðè ñêàðëàòèíå. |
#4
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íå ñïåöèàëèñò ïî âûñûïàíèÿì
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#5
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Ñïàñèáî çà îòâåò!
Ìîæåò áûòü åù¸ êòî-òî èç âðà÷åé îáðàòèë âíèìàíèå íà òåìó) |
#6
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âûñûïàíèÿ íà ñêàðëàòèíó íå ïîõîæå,ñêîðåå âñåãî ïîêà ïîõîæå ðåàêöèÿ íà âèðóñíîå çàáîëåâàíèå.Êàêîå (ìîíîíóêëåîç èëè äðóãîå ) çàî÷íî ñêàçòü òðóäíî...
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#7
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Ñûïü íà ñêàðëàòèíîçíóþ ñîâñåì íå ïîõîæà. Âîçìîæíî âèðóñíàÿ ýêçàíòåìà. Äàííûõ àíàìíåçà, â ò.÷. ïî ïðèåìó ëåêàðñòâåííûõ ïðåïàðàòîâ íåäîñòàòî÷íî. Êëèíè÷åñêèõ ñèìïòîìîâ èíôåêöèîííîãî ìîíîíóêëåîçà íå îïèñàíî, àíàëèç êðîâè íå ïîêàçàòåëåí â ïëàíå ïîñòàíîâêè äèàãíîçà èíôåêöèîííûé ìîíîíóêëåîç.
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#8
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Óâàæàåìûå âðà÷è! Ñïàñèáî çà îòâåòû. Ñêàæèòå ïîæàëóéñòà, à íå ïîõîæà ëè ñûïü íà êîðü? Ó äî÷êè â øêîëå êàðàíòèí ïî êîðè.
Äî÷ü ïðèâèòà îò êîðè ïî âîçðàñòó. Íî ìîæåò áûòü ýòî ìèòèãèðîâàííàÿ ôîðìà? |
#9
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âñå ìîæåò áûòü, ó 3% âàêöèíèðîâàííûõ áûâàåò êîðü, íî íåèçâåñòíî êîãäà è ÷åì ïðèâèâàëè âàøåãî ðåáåíêà, è áûë ëè èììóííûé îòâåò ó íåãî èëè íåò:
Two doses of MMR vaccine are 97% effective at preventing measles, 1 dose is 93% effective. It is uncommon for someone fully vaccinated to develop measles. However, breakthrough infections (when someone becomes infected after they have been vaccinated) can occur, especially in communities experiencing an outbreak where high levels of measles virus are circulating. The number of breakthrough infections (approximately 5% of total) is consistent...
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#10
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Ñïàñèáî, Âàäèì Âàëåðüåâè÷!
Äî÷êà ïðèâèòà Ïðèîðèêñîì â 2018 ãîäó è Âàêòðèâèðîì â 2022 ãîäó. |
#11
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ìíå íè÷åãî íå ãîâîðÿò äàííûå íàçâàíèÿ è íàñêîëüêî îíè ñðàâíèìû ñî ñòàíäàðòîì âñåãî ìèðà êàê MMR
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#12
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Öèòàòà:
Ðàííèå ñèìïòîìû îáû÷íî äëÿòñÿ 4–7 äíåé. Îíè âêëþ÷àþò: óâåëè÷åíèå òåìïåðàòóðû (ëèõîðàäêà) äî 38 — 40 °C; ãîëîâíûå áîëè, ñëàáîñòü; ñíèæåíèå àïïåòèòà; êîíúþíêòèâèò, ðèíèò, ñâåòîáîÿçíü; ñóõîé, íàäñàäíûé êàøåëü; ìåëêèå áåëûå ïÿòíà íà âíóòðåííåé ïîâåðõíîñòè ùåê. Ñûïü ïîÿâëÿåòñÿ ïðèìåðíî ÷åðåç 7–18 äíåé ïîñëå êîíòàêòà ñ âèðóñîì, îáû÷íî íà ëèöå è âåðõíåé ÷àñòè øåè îáû÷íî â ïåðâûé äåíü, íà 2-é äåíü îíà ðàñïðîñòðàíÿåòñÿ íà âñå òóëîâèøå,ïðèìåðíîíà 3-é äåíü, â êîíå÷íîì èòîãå âûñòóïàÿ íà ðóêàõ è íèæíèõ êîíå÷íîñòÿõ. ×åðåç 5–6 äíåé ýëåìåíòû ñûïè áëåäíåþò è óãàñàþò. |
#13
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Áîëüøîå ñïàñèáî âñ¸ì âðà÷àì çà ó÷àñòèå â îáñóæäåíèè!
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