The baby injects Bacillus Calmette-Guerin and shrinks experts all over: The normal child does not worry
The baby suffer from in 7 months " The defective disease of inborn immunity " ,The whole body after injecting Bacillus Calmette-Guerin " Shrink "
Take place probability 0.19- 1.56/100 Wan only, province department of public health expert answer Angie " wither the baby " yesterday Relevant problem
" the card lies between the fungus disease " Extremely rare, the normal child does not worry
Yesterday (the 18th) ,(Zhejiang) The department of public health of the province holds expert's explaining meeting, has notified this incident. The subsidiary children's hospital of Zhejiang University medical college breathes the immunity of head of the department Chen ZhiMin, province Center for Disease Prevention and Control and prevents experts such as Deputy Director Li Qian,etc., say live: The misfortune of small Rui Rui makes people sorry, the cause of disease is " inborn immune defect " With " inoculation of Bacillus Calmette-Guerin " Two factors meet unfortunately, has caused the lung infection, sown the scattered card and lain between the fungus disease, this was inoculated and never met in the history by Bacillus Calmette-Guerin of more than 30 years of Zhejiang.
They say, prevent the consumptive disease federation from reporting, the global card caused by inoculating Bacillus Calmette-Guerin lies between the fungus disease according to world, incidence 0.19-1.56/100 Wan only, probability very low, normal mum of child need to worry about.
Hit Bacillus Calmette-Guerin and have illness coming on
Cure and have slim hopes
The reporter knows, small Rui Rui was born on September 21 last year, 3.75 kilograms when born in, it was a lively baby. On October 26 after more than one month, the grandmother holds him to get to Angie and pass and pave the commune hospital in the town to inoculate Bacillus Calmette-Guerin which prevents tuberculosis. No one will expect, but this preventive inoculation becomes the beginning of little Rui Rui's agony. After the one week, the intersection of baby and the intersection of whole body and rash, strange to itch incomparably; One month later, the armpit is lymphocytic and swelling, the lung is infected; Two weeks, neck and hindbrain appear a plurality of lymphocytic and swelling, the hospital sends out the critically ill notice
The child only 6 kilograms duplicate each other, the hair is lossed, the skin is relaxed and withered, seem to be an old man all over. Take off many layers with the skin of the body on the head, because of pain, cry and shout with the hoarse voice once meeting, let people feel anxious. Burst of strange disease, family bring little the intersection of Rui and Rui toss about in bed large hospitals provide clear diagnosis. Finally, the intersection of public health and centre make a definite diagnosis of, infect, sow for lung getting scattered Carlos lie between the ill IgE syndrome high of fungus in Shanghai. The more tragic one is, the expert predicts, the possibility that small Rui Rui cures is zero. Can only maintain the life with a large amount of hormone and antibiotic at present, this costs much money, and can only live to the age of 15 at most.
What is " High IgE syndrome " ," what disease is it to sow the scattered card and lie between the fungus disease " ? Is it risky to inoculate Bacillus Calmette-Guerin now? Will such a thing happen on own baby? The reporter has carried on the special visit to the expert at the scene on the question that readers cared about.
At present
The whole world nearly finds 200
Q: What is the high IgE syndrome?
A: High IgE syndrome, it is a kind of extremely rare defective disease of inborn primary immunity. At present, nearly there are more than 200 example reports in the whole world, but only there are case reports at home. This kind of disease is that more than one kind is damaged for disease of the characteristic systematically, symptom includes infecting with, lung abscess, eczema,etc. repeatedly. Most high IgE syndrome patients have characteristic of autosomes with hereditary dominance, but some patients have hereditary characteristic of autosome recessiveness.
Say popularly, the baby has no immunity to a certain pathogenic microbe innately, once infect, will have illness coming on.
Sift checking ahead of time
It is basically not feasible
Q: After the baby was born in, whether could discern the inborn primary immune defect in early days?
A: The defective morbidity of children's inborn primary immunity is extremely low, and various in style, so discern a great deal of difficulties exist in the inborn primary immune defect in early days. Go on, sift, check to each child, may sift, consult 50 million people, could find a few cases, tantamount to looking for a needle in a haystack. And each child's detection expenses and medical resource consumed are very high, under the present medical condition, it is basically not feasible.
Normal child
It is dangerous not to have illness coming on
Q: Small the intersection of Rui and whom Rui have sow getting scattered card lie between how disease take place fungus?
A: Bacillus Calmette-Guerin is that one kind reduces vaccine of fungus of poisonous living. Through injecting manually, make the person infected with produce slight infection, thus produce antibody,etc., reduce the intersection of millet and grains of the intersection of sex and pulmonary tuberculosis and the intersection of child and tuberculosis emergence of meningitis. The normal child has no danger having illness coming on, but under a few situations, for example after the defective children of the immunity inoculate Bacillus Calmette-Guerin, because the health lacks immunity, the card lies between the fungus and enters blood, take place all over the sex is sown scatteredly, sow the scattered card and lie between the fungus disease. World prevent the intersection of consumptive disease and federation from report the whole world cause card lie between incidence, fungus of disease for 0.19- 1.56/100 Wan because of inoculating Bacillus Calmette-Guerin.
The neonate hits Bacillus Calmette-Guerin
It is necessary
Q: No inoculate, OK neonatal Bacillus Calmette-Guerin?
A: In the environment at present of our country, the tubercle bacillus generally exist. Because the neonate had no immunity to tubercle bacillus, were generally born and inoculate Bacillus Calmette-Guerin from 2 days to 3 months, mainly prevent pulmonary tuberculosis of a sex of millet and child's tuberculosis meningitis. And once the neonate is infected with the tubercle bacillus because of no inoculating Bacillus Calmette-Guerin, symptom and ordinary pneumonia are extremely similar at first, the disabling rate of tuberculosis meningitis is more than 50% in later period, many kinds of lifetime deformity of losing etc. that the child will leave becoming deaf, movement ability.
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