Evaluation of the influence of the etiological spectrum herpesviruses into systemic and local immune response in encephalitis in children

Herpesviruses are the most common etiological agents of encephalitis in children. The most pathogenic properties for humans are: Herpes Simplex virus type 1, type 2, Varicella Zoster virus, Human Herpes virus type 6 and Epstein-Barr virus, combined infection with which, along with the individual cha...

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Main Authors: E. Yu. Skripchenko, G. F. Zheleznikova, N. V. Skripchenko, E. Yu. Gorelik, N. F. Pullman, A. A. Vilnits, A. V. Astapova, V. Yu. Lobzin
Format: Article
Language:Russian
Published: LLC "Diagnostics and Vaccines" 2022-07-01
Series:Детские инфекции (Москва)
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Online Access:https://detinf.elpub.ru/jour/article/view/722
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author E. Yu. Skripchenko
G. F. Zheleznikova
N. V. Skripchenko
E. Yu. Gorelik
N. F. Pullman
A. A. Vilnits
A. V. Astapova
V. Yu. Lobzin
author_facet E. Yu. Skripchenko
G. F. Zheleznikova
N. V. Skripchenko
E. Yu. Gorelik
N. F. Pullman
A. A. Vilnits
A. V. Astapova
V. Yu. Lobzin
author_sort E. Yu. Skripchenko
collection DOAJ
description Herpesviruses are the most common etiological agents of encephalitis in children. The most pathogenic properties for humans are: Herpes Simplex virus type 1, type 2, Varicella Zoster virus, Human Herpes virus type 6 and Epstein-Barr virus, combined infection with which, along with the individual characteristics of the patient's immune status, can lead to a severe course and unpredictable outcome encephalitis.Materials and methods. Clinical and neurological monitoring, etiological verification of infectious agents in the blood and cerebrospinal fluid by PCR and ELISA methods were carried out in 85 children with encephalitis at the age of 10—18 years. In patients suffering from herpesvirus encephalitis, the levels of pro-inflammatory cytokines, interleukins, chemokines were determined in the blood during the acute period of the disease and after 10—14 days.Results. A decrease in the production of IFN-α and IFN-γ was revealed, which is an unfavorable factor prolonging the course of an active herpes virus infection. Conclusions. Cytokines should be considered as one of the prognostic factors for the course and outcomes of encephalitis in children, which will allow timely correction of patient management tactics in each specific case and improve the outcome of the disease.
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spelling doaj-art-6db047d0119845e9923766b3d5908f3e2025-08-20T02:46:33ZrusLLC "Diagnostics and Vaccines"Детские инфекции (Москва)2072-81072022-07-01212111510.22627/2072-8107-2022-21-2-11-15552Evaluation of the influence of the etiological spectrum herpesviruses into systemic and local immune response in encephalitis in childrenE. Yu. Skripchenko0G. F. Zheleznikova1N. V. Skripchenko2E. Yu. Gorelik3N. F. Pullman4A. A. Vilnits5A. V. Astapova6V. Yu. Lobzin7Children's Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia; St. Petersburg State Pediatric Medical UniversityChildren's Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of RussiaChildren's Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia; St. Petersburg State Pediatric Medical UniversityChildren's Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of RussiaChildren's Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of RussiaChildren's Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia; St. Petersburg State Pediatric Medical UniversityChildren's Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of RussiaChildren's Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia; Military Medical Academy named after S.M. KirovHerpesviruses are the most common etiological agents of encephalitis in children. The most pathogenic properties for humans are: Herpes Simplex virus type 1, type 2, Varicella Zoster virus, Human Herpes virus type 6 and Epstein-Barr virus, combined infection with which, along with the individual characteristics of the patient's immune status, can lead to a severe course and unpredictable outcome encephalitis.Materials and methods. Clinical and neurological monitoring, etiological verification of infectious agents in the blood and cerebrospinal fluid by PCR and ELISA methods were carried out in 85 children with encephalitis at the age of 10—18 years. In patients suffering from herpesvirus encephalitis, the levels of pro-inflammatory cytokines, interleukins, chemokines were determined in the blood during the acute period of the disease and after 10—14 days.Results. A decrease in the production of IFN-α and IFN-γ was revealed, which is an unfavorable factor prolonging the course of an active herpes virus infection. Conclusions. Cytokines should be considered as one of the prognostic factors for the course and outcomes of encephalitis in children, which will allow timely correction of patient management tactics in each specific case and improve the outcome of the disease.https://detinf.elpub.ru/jour/article/view/722childrenherpesvirusesencephalitiscytokinesprognosis
spellingShingle E. Yu. Skripchenko
G. F. Zheleznikova
N. V. Skripchenko
E. Yu. Gorelik
N. F. Pullman
A. A. Vilnits
A. V. Astapova
V. Yu. Lobzin
Evaluation of the influence of the etiological spectrum herpesviruses into systemic and local immune response in encephalitis in children
Детские инфекции (Москва)
children
herpesviruses
encephalitis
cytokines
prognosis
title Evaluation of the influence of the etiological spectrum herpesviruses into systemic and local immune response in encephalitis in children
title_full Evaluation of the influence of the etiological spectrum herpesviruses into systemic and local immune response in encephalitis in children
title_fullStr Evaluation of the influence of the etiological spectrum herpesviruses into systemic and local immune response in encephalitis in children
title_full_unstemmed Evaluation of the influence of the etiological spectrum herpesviruses into systemic and local immune response in encephalitis in children
title_short Evaluation of the influence of the etiological spectrum herpesviruses into systemic and local immune response in encephalitis in children
title_sort evaluation of the influence of the etiological spectrum herpesviruses into systemic and local immune response in encephalitis in children
topic children
herpesviruses
encephalitis
cytokines
prognosis
url https://detinf.elpub.ru/jour/article/view/722
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