Results of pathogenetic therapy with the drug N-Pentoxynial in children with current latent CMV/EBV infection

Raushan Idrissova, Farida Mustafaeva, Madina Zhaksybek, Z. Idrissova
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Abstract

In the perinatal and early postnatal period, congenital (antenatal) and intrauterine (intra- and perinatal) CMV are more often manifested by lesions of the liver, brain and organ of vision. Objective. To study the effect of pathogenetic therapy with the metabolic and hepatoprotective drug N-Pentoxinial on the course of persistent CMV/EBV infection of perinatal genesis in children. Material and Methods. The course of latent perinatal cytomegalovirus (CMV) and Epstein-Bar viral infections in children was studied against the background of antiviral treatment (specific against CMV/ EBV immunoglobulin - Neocytect and recombinant alpha-interferon - Viferon No. 10), followed (immediately after 5-7 days after antiviral) by the appointment of 1-2 courses of N-Pentoxinal for 10-20 days. The main group consisted of 20 children (average age 5.4±1.4 years), the control group consisted of 10 children (average age 5.1±1.7 years). All underwent general clinical and virological studies to confirm the diagnosis. Result and discussions. The results obtained indicate that the addition of N-pentoxynial to the basic antiviral therapy for CMV and EBV infection in children improves (accelerates) the elimination of the virus from biological fluids (blood and urine), as well as more rapid normalization of transaminases and alkaline phosphatase. There were no reliably proven allergic reactions. Conclusions. The drug N-Pentoxinial can be prescribed after antiviral therapy for perinatal CMV, EBV infection in order to consolidate the results of antiviral treatment and normalize liver function, especially bile secretion. Keywords: latent perinatal cytomegalovirus/Epstein-Barr viral infection, children, therapy.
n -戊氧嘧啶药物对当前潜伏CMV/EBV感染儿童的病理治疗结果
在围产期和产后早期,先天性(产前)和宫内(内和围产期)巨细胞病毒更常表现为肝脏、大脑和视觉器官的病变。目标。目的:探讨代谢性保肝药物n -戊毒素对围生期儿童持续性巨细胞病毒/EBV感染病程的影响。材料和方法。在抗病毒治疗(特异性针对巨细胞病毒/ EBV免疫球蛋白- Neocytect和重组α -干扰素- Viferon No. 10)的背景下,研究儿童潜伏性围产期巨细胞病毒(CMV)和eb病毒感染的病程,随后(抗病毒后5-7天立即)给予1-2个疗程N-Pentoxinal治疗10-20天。主组20例,平均年龄5.4±1.4岁;对照组10例,平均年龄5.1±1.7岁。所有患者均接受了一般临床和病毒学研究以确认诊断。结果和讨论。结果表明,在治疗儿童巨细胞病毒和EBV感染的基础抗病毒治疗中加入n -戊氧嘧啶可改善(加速)生物体液(血液和尿液)中病毒的消除,并能更快地使转氨酶和碱性磷酸酶恢复正常。没有可靠的证明过敏反应。结论。围产期巨细胞病毒、EBV感染抗病毒治疗后可给予n -戊毒素,以巩固抗病毒治疗效果,使肝功能特别是胆汁分泌正常。关键词:围产期潜伏巨细胞病毒/ eb病毒感染,儿童,治疗
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