Particularităţile clinico-evolutive şi de tratament ale oreionului la copii în epidemia din aa.2007-2008

Abstract

This article presents the results of studying of 132 cases of the mumps in children, who were hospitalized between 2007-2008 years into the City Municipal Clinical Hospital of Pediatric Infectious Diseases, Kishinev. The disease was diagnosed clinically-epidemiologicaly and by the laboratory tests. The children of the 11-17 (90,9%) age made the largest group who suffered of the mumps. The duration of disease was in middle hard forniat -115 (87,1%); in hard form – at 17 (12,9 %) .The mumps began as parotitis – at (120 - 91%) patients, or as submaxillitis – at (75 - 56,8%) patients, as pancreatitis – at (56 - 42,4%), as orhitis – at (31 - 23,5%) patients and meningitis – at (53 - 40,2%) patients. All patients received the patogenetical treatament with the recovery. The catamnezial control of the children, who were suffering of and orhitis, pancreatitis, meningitis presents a great interes.

Au fost studiate 132 cazuri de oreion la copii în aa.2007-2008 în Spitalul Clinic Municipal de Boli contagioase la copii Chişinău. Diagnosticul a fost stabilit pe date clinico-epidemiologice şi paraclinice. A predominat oreionul la vârsta 11-17 ani (90,9%). Maladia a evoluat în forme medii – la 115 (87,1%) şi grave – la 17 (12,9 %) copii. În majoritatea cazurilor (120 - 91%) parotidita şi/sau submaxilita (75 - 56,8%) a fost asociată cu pancreatită (56 - 42,4%), orhită – (31 - 23,5%), meningită - (53 - 40,2%). Tratamentul patogenetic a fost eficient în toate cazurile, boala evoluînd spre vindecare. Prezintă interes supravegherea postexternare a copiilor ce au suportat orhita, pancreatita, meningita.