한타바이러스 폐 증후군 Hantavirus pulmonary syndrome

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한타바이러스 증후군은 Bunyaviridae 족 Sin Nombre virus(SNV) 감염으로 생기는 바이러스 감염병이다. 이 병은 한국에서도 발 병 한다. 미국 동남서 지역에서 유행한다. 2018 년 미 덴버 콜로라도 주에서도 발생했다.
이 병이 한국에서도 유행한다고 한다.이 병에 걸리면 호흡기 부전증이 생기고 쇼크가 생기면서 사망할 수 있다.
급성 열성 바이러스 출혈열 중 하나이다.
잠복기는 1~6주다.
열, 오한, 두통, 근육통, 요통, 사지통, 구기, 구토, 설사, 현기증, 기침 등의 증상 징후가 생기고
폐부종과 저산소증, 숨 가쁨, 저혈압, 심장부전증 등이 생길 수 있다. 그리고 사망률이 약 38%가된다 MMWR 9/19.
설치류 매개체로 감염된다.
병력 증상 징후, 진찰소견, 한타 바이러스, IgG와 IgM 항체검사로 진단한다.SNV RNA를 검출해서 진단한다.
Ribavrin 항바이러스제로 치료하나 치료효과가 없다. 지지치료 및 인공기계 호흡 치료로 치료할 때도 있다.

Updated 6/2015

■ 출처 및 참조문헌

Neonatology Jeffrey J.Pomerance, C. Joan Richardson

Nelson Textbook of Pediatrics 19th ed. Beherman,

The Johns Hopkins Hospital, The Harriet Lane Handbook, 18th edition

MMWR 9/19

Red book 29th edition 2012, 30th ed 2015

Nelson Text Book of Pediatrics 19th Edition

Infectious disease of children, Saul Krugman, Samuel L Katz, Ann A. Gerhon, Catherine Wilfert

Childhood Emergencies in the Office, Hospital and Community, American Academy of Pediatrics

Emergency Medical Service for Children, By Ross Lab. May 1989. p.10

Emergency care, harvey grant and robert murray

Emergency Care Transportation of Sick and Injured American Academy of Orthopaedic Surgeons

Emergency Pediatrics A Guide to Ambulatory Care, Roger M. Barkin, Peter Rosen

Immediate care of the acutely ill and injured, Hugh E. Stephenson, Jr

The Critically Ill Child, Diagnosis and Management, Edited by Clement A. Smith

Emergency Medical Services for Children: The Role of the Primary Care Provider, America Academy of Pediatrics

The Harriet Lane Handbook 19th Edition

소아과학 대한교과서

제1권 소아청소년 응급의료 참조문헌과 출처

제2권 소아청소년 질병․안전사고 예방 참조문헌과 출처

제7권 소아청소년 감염병 참조 문헌 및 출처

Other

Reviewed 6/2015

부모도 반의사가 되어야 한다

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“부모도 반의사가 되어야 한다”-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.

Hantavirus pulmonary syndrome

Hantavirus syndrome is a viral infection caused by infection with Sin Nombre virus (SNV) of the Bunyaviridae family. This disease also occurs in Korea. It is prevalent in the southeastern and southwestern regions of the United States. It also occurred in Denver, Colorado, USA in 2018.
It is said that this disease is also prevalent in Korea. If you contract this disease, you may develop respiratory failure, shock, and death.
It is one of the acute febrile viral hemorrhagic fevers.
The incubation period is 1 to 6 weeks.
Symptoms such as fever, chills, headache, muscle pain, back pain, limb pain, mouthfeel, vomiting, diarrhea, dizziness, and cough may occur.
Pulmonary edema, hypoxia, shortness of breath, low blood pressure, and heart failure may occur. And the mortality rate is about 38% MMWR 9/19.
Infected through rodent vectors.
Diagnosis is made based on medical history, symptoms, examination findings, hantavirus, IgG and IgM antibody tests. Diagnosis is made by detecting SNV RNA.
Treatment with ribavirin antiviral medication is ineffective. Sometimes it is treated with supportive care and mechanical breathing therapy.
Updated 6/2015

■ Sources and references
Neonatology Jeffrey J. Pomerance, C. Joan Richardson
Nelson Textbook of Pediatrics 19th ed. Beherman,
The Johns Hopkins Hospital, The Harriet Lane Handbook, 18th edition
MMWR 9/19

Red book 29th edition 2012, 30th edition 2015
Nelson Text Book of Pediatrics 19th Edition
Infectious disease of children, Saul Krugman, Samuel L Katz, Ann A. Gerhon, Catherine Wilfert
Childhood Emergencies in the Office, Hospital and Community, American Academy of Pediatrics
Emergency Medical Services for Children, By Ross Lab. May 1989. p.10
emergency care, Harvey Grant and Robert Murray
Emergency Care Transportation of Sick and Injured American Academy of Orthopedic Surgeons
Emergency Pediatrics: A Guide to Ambulatory Care, Roger M. Barkin, Peter Rosen
Immediate care of the acutely ill and injured Hugh E. Stephenson, Jr
The Critically Ill Child, Diagnosis and Management, Edited by Clement A. Smith
Emergency Medical Services for Children: The Role of the Primary Care Provider, America Academy of Pediatrics
The Harriet Lane Handbook 19th Edition
Pediatrics Korean textbook
Volume 1 Pediatric and Adolescent Emergency Medicine References and Sources
Volume 2 Preventing Diseases and Accidents in Children and Adolescents References and Sources
Volume 7 Infectious Diseases in Children and Adolescents References and Sources
Other
Reviewed 6/2015
Parents should also be anti-doctors
www.koreapediatrics.com
Copyright ⓒ 2014 John Sangwon Lee, MD, FAAP
“Parents should also be half-doctors” – The content cannot replace the information and treatment you get from your doctor.
“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.