{"id":9964,"date":"2020-04-23T03:52:32","date_gmt":"2020-04-23T00:52:32","guid":{"rendered":"https:\/\/www.synevo.ro\/product\/virusul-varicelo-zosterian-vzv-adn-in-sange-lcr-lichid-amniotic\/"},"modified":"2024-10-30T09:36:20","modified_gmt":"2024-10-30T07:36:20","slug":"virusul-varicelo-zosterian-vzv-adn","status":"publish","type":"product","link":"https:\/\/old.synevo.md\/ru\/shop\/virusul-varicelo-zosterian-vzv-adn\/","title":{"rendered":"\u0412\u0438\u0440\u0443\u0441 \u0432\u0435\u0442\u0440\u044f\u043d\u043e\u0439 \u043e\u0441\u043f\u044b (VZV), \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0435\u043d\u0438\u0435 \u0414\u041d\u041a"},"content":{"rendered":"<p><strong><em>\u041e\u0431\u0449\u0430\u044f \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f <\/em><\/strong><\/p>\n<p>Virusul varicelo-zosterian (VZV) face parte din familia Herpesviridae; contine un ADN dublu catenar localizat central si inconjurat de o anvelopa<sup>6<\/sup>.<\/p>\n<p>VZV produce leziuni veziculare dermice ce se exprima clinic ca <em>varicela<\/em> (infectie primara) sau <em>herpes zoster<\/em> (reactivare). Infectia primara se manifesta in special la copiii sub 10 ani printr-o eruptie veziculo-pustuloasa generalizata care este in majoritatea cazurilor autolimitata. La copiii imunodeprimati elementele cutanate sunt mai numeroase, au adesea o baza hemoragica, se vindeca mai greu, iar uneori se suprainfecteaza cu bacterii Gram pozitive<sup>3;5;6<\/sup>.<\/p>\n<p>Complicatiile varicelei sunt rare si afecteaza predominat SNC si plamanul. Anomaliile neurologice includ <em>ataxia cerebeloasa acuta<\/em>, <em>encefalita<\/em>, <em>meningita<\/em>, <em>mielita transversa<\/em>. Ataxia cerebeloasa (prevalenta 1 la 4000 cazuri) se dezvolta cel mai adesea in decurs de 1 saptamana de la debutul exantemului, dar poate sa apara chiar si dupa 21 zile. La copii constituie de obicei o complicatie benigna care se remite intr-un interval de 2-4 saptamani; prin tehnici PCR poate fi detectat VZV-ADN in lichidul cefalorahidian. O complicatie mai grava este encefalita, care este insotita de o mortalitate de 5-20% si de sechele neurologice la 15% dintre supravietuitori. De asemenea, o complicatie severa care survine adesea la adulti si la pacientii imunodeprimati este <em>pneumonia<\/em> <em>variceloasa<\/em> (dispnee cu tahipnee, tuse, febra, modificari radiologice de tip interstitial) care poate fi letala pentru gravidele aflate in trimestrul II sau III de sarcina<sup>6<\/sup>.<\/p>\n<p>Daca infectia primara survine in primele 28 saptamani de sarcina exista un risc de 1-2% de afectare fetala (<em>sindromul varicelei fetale<\/em> \u0438\u043b\u0438 <em>varicela congenitala<\/em>). VZV-ADN poate fi detectat prin tehnica PCR in lichidul amniotic; testul are o sensibilitate foarte mare, dar o specificitate redusa pentru sindromul varicelei fetale. Cu toate acestea nu a fost descris nici un caz de afectare fetala in asociere cu un VZV-ADN nedetectabil in lichidul amniotic. Riscul de varicela congenitala este mare daca prezenta VZV-ADN in lichidul amniotic este insotita de modificari ecografice sugestive<sup>1<\/sup>.<\/p>\n<p>Daca infectia mamei se produce la termen, exista un risc semnificativ de <em>varicela a nou-nascutului<\/em>, cu mortalitate de pana la 30%<sup>1;6<\/sup>.<\/p>\n<p>Dupa infectia primara cu VZV virusul persista intr-o stare latenta in ganglionii senzitivi de pe traiectul radacinii dorsale a nervilor spinali si a nervilor cranieni. Reactivarile se produc la 10-20% dintre adulti, mai frecvent dupa varsta de 50 ani si se manifesta printr-o eruptie veziculara unilaterala cu distributie dermatomala<sup>5<\/sup>. In cadrul herpes zosterului pot exista afectari SNC exprimate clinic ca meningoencefalita sau encefalita. O complicatie rara care apare dupa herpes zoster ophthalmicus este <em>angeita granulomatoasa cerebrala<\/em>. La persoanele imunodeprimate evolutia herpes zosterului este mai severa si mai indelungata. Pacientii cu limfoproliferari maligne au risc crescut de diseminare cutanata si afectare viscerala (pneumonie, hepatita si meningoencefalita)<sup>6<\/sup>.<\/p>\n<p>Leziunile caracteristice sugereaza de obicei diagnosticul de herpes zoster. Totusi, atat virusul herpes simplex (HSV) cat si virusurile Coxsackie pot produce leziuni veziculare dermatomale. Pentru diagnosticul diferential se poate recurge la detectarea ADN-ului viral din leziuni, care este rapida si mai sensibila decat izolarea virusului in culturi de celule<sup>4<\/sup>.<\/p>\n<p><strong><em>Recomandari pentru determinarea VZV \u2013 ADN <\/em><\/strong>\u2013 diagnosticul infectiilor VZV; astfel:<\/p>\n<ul>\n<li><span style=\"text-decoration: underline;\">VZV \u2013 ADN in sange<\/span>: detectarea precoce a infectiilor VZV complicate la pacientii cu imunodepresie severa (ex. post-transplant medular) in vederea instituirii tratamentului antiviral<sup>3;6<\/sup>.<\/li>\n<li><span style=\"text-decoration: underline;\">VZV \u2013 ADN in leziune<\/span>: diagnosticul diferential al leziunilor cutanate<sup>4;6<\/sup>.<\/li>\n<li><span style=\"text-decoration: underline;\">VZV \u2013 ADN in LCR:<\/span> diagnosticul sindroamelor SNC asociate cu VZV (sensibilitate si specificitate &gt;95% pentru zoster sine herpete, meningita aseptica, encefalita, mielita transversa, vasculita SNC, cerebelita); cel mai mult beneficiaza de testare pacientii cu sindroame neurologice fara eruptie concomitenta; testul PCR este mai util in diagnosticul complicatiilor neurologice ale varicelei; pentru sindroamele SNC asociate cu herpes zoster este nevoie de mai multe date care sa sustina utilitatea testarii, deoarece VZV-ADN a fost detectat in lichidul cefalorahidian al unor pacienti cu infectii cutanate necomplicate<sup>2<\/sup>.<\/li>\n<li><span style=\"text-decoration: underline;\">VZV \u2013 ADN in lichid amniotic:<\/span> diagnosticul infectiei fetale cu VZV<sup>1;6<\/sup>.<\/li>\n<\/ul>\n<p><strong><em>Pregatire pacient<\/em><\/strong> \u2013 nu este necesara<sup>3<\/sup>.<\/p>\n<p><strong><em>Specimen recoltat<\/em><\/strong> \u2013 a) sange venos; b) produs prelevat din leziune pe tampon uscat; c) lichid cefalorahidian recoltat prin punctie lombara; d) lichid amniotic<sup>3<\/sup>.<\/p>\n<p><strong><em>Recipient de recoltare<\/em><\/strong>\u00a0\u2013 a) vacutainer ce contine EDTA ca anticoagulant; b) tampon fara mediu de transport; c) si d) recipient steril<sup>3<\/sup>.<\/p>\n<p><strong><em>Cantitate recoltata <\/em><\/strong>\u2013 a) cat permite vacuumul; c) si d) \u00a0minimum 2 mL<sup>3<\/sup>.<\/p>\n<p><strong><em>Prelucrare necesara dupa recoltare <\/em><\/strong>\u2013 a), c), d) probele <strong>nu<\/strong> vor fi centrifugate<sup>3<\/sup>.<\/p>\n<p><strong><em>Cauze de respingere a probei<\/em><\/strong> \u2013 a) probe vechi, coagulate, hemolizate; folosirea heparinei ca anticoagulant<sup>3<\/sup>.<\/p>\n<p><strong><em>Stabilitate proba <\/em><\/strong>\u2013 probele de sange, produs din leziune, LCR sau lichid amniotic sunt stabile <em>1 saptamana\u00a0 la 2-4\u00b0C<\/em><sup>3<\/sup>.<\/p>\n<p><strong><em>Metoda<\/em><\/strong> - <span style=\"text-decoration: underline;\">Real-time PCR Light-Cycler<\/span>: reactie de polimerizare in lant cu detectie in timp real a produsului PCR\u00a0 acumulat, prin masurarea fluorescentei emise (test calitativ)<sup>3<\/sup>.<\/p>\n<p><strong><em>Valori de referinta <\/em><\/strong>\u2013 VZV \u2013 ADN nedetectabil<sup>3<\/sup>.<\/p>\n<p><strong><em>Limita de detectie<\/em><\/strong> \u2013 10 copii\/proba<sup>3<\/sup>.<\/p>\n<p><strong><em>Interpretarea rezultatelor<\/em><\/strong><\/p>\n<p>Detectia VZV-ADN in diverse produse patologice sustine diagnosticul clinic de infectie datorata acestui virus<sup>5<\/sup>.<\/p>\n<p><strong><em>Limite si interferente<\/em><\/strong><\/p>\n<p>Un rezultat negativ nu elimina posibilitatea unei infectii VZV, in special la nivel SNC<sup>5<\/sup>.<\/p>\n<p><span style=\"font-size: small;\">\u00a0<\/span><\/p>\n<p><span style=\"font-size: small;\">\u0411\u0438\u0431\u043b\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u044f<\/span><\/p>\n<p><span style=\"font-size: small;\">1. Ashraf Fouda. Chickenpox in Pregnancy. www.obgyn.net\/educational-tutorial. Ref Type: Internet Communication.<\/span><\/p>\n<p><span style=\"font-size: small;\">2. Guy Boivin. Diagnosis of Herpesvirus Infections of the Central Nervous System. In HERPES 11, Supplement, 2004.<\/span><\/p>\n<p><span style=\"font-size: small;\">3. Laborator Synevo. Referintele specifice tehnologiei de lucru utilizate 2015. Ref Type: Catalog.<\/span><\/p>\n<p><span style=\"font-size: small;\">4. Mark J. Espy et al. Diagnosis of Varicella-Zoster Virus Infections in the Clinical Laboratory by LightCycler PCR. In J Clin Microbiol. 2000 September; 38(9): 3187\u20133189.<\/span><\/p>\n<p><span style=\"font-size: small;\">5. Mayo Clinic. Mayo Medical Laboratories. Test Catalog: Varicella-Zoster Virus (VZV), Molecular Detection, PCR. www.mayomedicallaboratories.com. Ref Type: Internet Communication.<\/span><\/p>\n<p><span style=\"font-size: small;\">6. Richard J. Whitley. Varicella-Zoster Virus. In Mandell, Douglas, and Bennett\u2019s Principles and Practice of Infectious Diseases, 7th edition, Churchill Livingstone, Elsevier, 2010, 1963-1968.<\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>\u0412\u0438\u0440\u0443\u0441 Varicella Zoster \u2013 \u044d\u0442\u043e \u0432\u0438\u0440\u0443\u0441 \u0433\u0435\u0440\u043f\u0435\u0441\u0430 3-\u0433\u043e \u0442\u0438\u043f\u0430, \u043e\u0442\u043d\u043e\u0441\u044f\u0449\u0438\u0439\u0441\u044f \u043a \u0441\u0435\u043c\u0435\u0439\u0441\u0442\u0432\u0443 Herpesviridae. \u041e\u043d \u0432\u044b\u0437\u044b\u0432\u0430\u0435\u0442 \u0432\u0435\u0442\u0440\u044f\u043d\u0443\u044e \u043e\u0441\u043f\u0443 \u0438\u043b\u0438 \u043e\u043f\u043e\u044f\u0441\u044b\u0432\u0430\u044e\u0449\u0438\u0439 \u043b\u0438\u0448\u0430\u0439, \u043f\u0435\u0440\u0435\u0434\u0430\u0432\u0430\u044f\u0441\u044c \u043a\u043e\u043d\u0442\u0430\u043a\u0442\u043d\u044b\u043c (\u0447\u0435\u0440\u0435\u0437 \u0437\u0430\u0440\u0430\u0436\u0435\u043d\u043d\u044b\u0435 \u043f\u0440\u0435\u0434\u043c\u0435\u0442\u044b \u043e\u0431\u0438\u0445\u043e\u0434\u0430) \u0438\u043b\u0438 \u0432\u043e\u0437\u0434\u0443\u0448\u043d\u043e-\u043a\u0430\u043f\u0435\u043b\u044c\u043d\u044b\u043c \u043f\u0443\u0442\u0435\u043c. \u041f\u043e\u0441\u043b\u0435 \u043f\u043e\u043f\u0430\u0434\u0430\u043d\u0438\u044f \u0432 \u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c \u0432\u0438\u0440\u0443\u0441 \u0440\u0430\u0437\u043c\u043d\u043e\u0436\u0430\u0435\u0442\u0441\u044f \u0432 \u043b\u0438\u043c\u0444\u043e\u0438\u0434\u043d\u043e\u0439 \u0442\u043a\u0430\u043d\u0438 \u0434\u044b\u0445\u0430\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u043f\u0443\u0442\u0435\u0439, \u0437\u0430\u0442\u0435\u043c \u043f\u0440\u043e\u043d\u0438\u043a\u0430\u0435\u0442 \u0432 \u043a\u0440\u043e\u0432\u044c, \u043f\u043e\u0441\u043b\u0435 \u0447\u0435\u0433\u043e \u0440\u0430\u0437\u0432\u0438\u0432\u0430\u044e\u0442\u0441\u044f \u043f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u044f \u043a\u043e\u0436\u0438 \u0432 \u0432\u0438\u0434\u0435 \u0432\u0435\u0437\u0438\u043a\u0443\u043b\u044f\u0440\u043d\u043e\u0439 \u0441\u044b\u043f\u0438 \u0438 \u0434\u0440\u0443\u0433\u0438\u0435 \u043f\u0440\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u044f \u0432\u0435\u0442\u0440\u044f\u043d\u043e\u0439 \u043e\u0441\u043f\u044b (\u0432\u0435\u0442\u0440\u044f\u043d\u043a\u0438). \u041d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u0447\u0430\u0441\u0442\u043e \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435 \u0432\u0441\u0442\u0440\u0435\u0447\u0430\u0435\u0442\u0441\u044f \u0432 \u0434\u0435\u0442\u0441\u043a\u043e\u043c \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u0435.<\/p>\n<p>\u0412\u043e \u0432\u0440\u0435\u043c\u044f \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438 \u0432\u0438\u0440\u0443\u0441 \u043c\u043e\u0436\u0435\u0442 \u0432\u044b\u0437\u044b\u0432\u0430\u0442\u044c \u043f\u043e\u0440\u043e\u043a\u0438 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u0443 \u043f\u043b\u043e\u0434\u0430 \u0438 \u0434\u0430\u0436\u0435 \u0435\u0433\u043e \u0433\u0438\u0431\u0435\u043b\u044c (\u0435\u0441\u043b\u0438 \u0438\u043d\u0444\u0438\u0446\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u043f\u0440\u043e\u0438\u0437\u043e\u0448\u043b\u043e \u043d\u0430 \u043f\u043e\u0437\u0434\u043d\u0438\u0445 \u0441\u0440\u043e\u043a\u0430\u0445). \u041f\u0440\u0438 \u043f\u0435\u0440\u0432\u0438\u0447\u043d\u043e\u043c \u0437\u0430\u0440\u0430\u0436\u0435\u043d\u0438\u0438 Varicella Zoster \u0434\u043e\u0441\u0442\u0438\u0433\u0430\u0435\u0442 \u0441\u043f\u0438\u043d\u043d\u043e\u043c\u043e\u0437\u0433\u043e\u0432\u044b\u0445 \u0441\u0435\u043d\u0441\u043e\u0440\u043d\u044b\u0445 \u0433\u0430\u043d\u0433\u043b\u0438\u0435\u0432, \u0433\u0434\u0435 \u043c\u043e\u0436\u0435\u0442 \u0431\u0435\u0441\u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043d\u043e \u043d\u0430\u0445\u043e\u0434\u0438\u0442\u044c\u0441\u044f \u0433\u043e\u0434\u0430\u043c\u0438. \u041f\u0440\u0438 \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0435\u043d\u043d\u044b\u0445 \u0443\u0441\u043b\u043e\u0432\u0438\u044f\u0445 (\u0441\u043d\u0438\u0436\u0435\u043d\u0438\u0435 \u0438\u043c\u043c\u0443\u043d\u0438\u0442\u0435\u0442\u0430 \u0438 \u0442. \u0434.), \u043a\u0430\u043a \u043f\u0440\u0430\u0432\u0438\u043b\u043e, \u0443 \u0432\u0437\u0440\u043e\u0441\u043b\u044b\u0445 \u0432\u0438\u0440\u0443\u0441 \u043c\u043e\u0436\u0435\u0442 \u0440\u0435\u0430\u043a\u0442\u0438\u0432\u0438\u0440\u043e\u0432\u0430\u0442\u044c\u0441\u044f. \u042d\u0442\u043e \u043f\u0440\u043e\u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u043e\u043f\u043e\u044f\u0441\u044b\u0432\u0430\u044e\u0449\u0438\u043c \u043b\u0438\u0448\u0430\u0435\u043c \u2013 \u0432\u044b\u0441\u044b\u043f\u0430\u043d\u0438\u044f\u043c\u0438 \u043d\u0430 \u043a\u043e\u0436\u0435 (\u0432 \u043e\u0431\u043b\u0430\u0441\u0442\u0438 \u043f\u043e\u0440\u0430\u0436\u0435\u043d\u043d\u043e\u0433\u043e \u043d\u0435\u0440\u0432\u0430), \u0441\u043e\u043f\u0440\u043e\u0432\u043e\u0436\u0434\u0430\u044e\u0449\u0438\u043c\u0438\u0441\u044f \u0441\u0438\u043b\u044c\u043d\u044b\u043c\u0438 \u043d\u0435\u0432\u0440\u0430\u043b\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c\u0438 \u0431\u043e\u043b\u044f\u043c\u0438.<\/p>\n<p>\u041d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u0447\u0443\u0432\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u043c\u0438 \u0438 \u0441\u043f\u0435\u0446\u0438\u0444\u0438\u0447\u043d\u044b\u043c\u0438 \u043c\u0435\u0442\u043e\u0434\u0430\u043c\u0438 \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438 Varicella Zoster \u044f\u0432\u043b\u044f\u044e\u0442\u0441\u044f \u043c\u043e\u043b\u0435\u043a\u0443\u043b\u044f\u0440\u043d\u043e-\u0433\u0435\u043d\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044f, \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u043f\u043e\u043b\u0438\u043c\u0435\u0440\u0430\u0437\u043d\u0430\u044f \u0446\u0435\u043f\u043d\u0430\u044f \u0440\u0435\u0430\u043a\u0446\u0438\u044f (\u041f\u0426\u0420). \u0415\u0435 \u043f\u0440\u0438\u043d\u0446\u0438\u043f \u043e\u0441\u043d\u043e\u0432\u0430\u043d \u043d\u0430 \u043c\u043d\u043e\u0433\u043e\u043a\u0440\u0430\u0442\u043d\u043e\u043c \u0443\u0432\u0435\u043b\u0438\u0447\u0435\u043d\u0438\u0438 \u0447\u0438\u0441\u043b\u0430 \u043a\u043e\u043f\u0438\u0439 \u0441\u043f\u0435\u0446\u0438\u0444\u0438\u0447\u043d\u043e\u0433\u043e \u0434\u043b\u044f \u0434\u0430\u043d\u043d\u043e\u0433\u043e \u0432\u043e\u0437\u0431\u0443\u0434\u0438\u0442\u0435\u043b\u044f \u0443\u0447\u0430\u0441\u0442\u043a\u0430 \u0414\u041d\u041a. \u041f\u0426\u0420 \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u0432\u044b\u044f\u0432\u0438\u0442\u044c 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\u043c\u0430\u043b\u043e\u0432\u0435\u0440\u043e\u044f\u0442\u043d\u043e.<\/p>","protected":false},"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[968,971],"product_tag":[],"class_list":{"0":"post-9964","1":"product","2":"type-product","3":"status-publish","5":"product_cat-teste-de-biologie-moleculara","6":"product_cat-teste-moleculare-pentru-diagnosticul-infectiilor","8":"first","9":"instock","10":"sold-individually","11":"shipping-taxable","12":"purchasable","13":"product-type-simple"},"_links":{"self":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product\/9964","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/comments?post=9964"}],"wp:attachment":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/media?parent=9964"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product_brand?post=9964"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product_cat?post=9964"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product_tag?post=9964"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}