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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2025-16-43-46</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-4486</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Клинический случай энтеровирусного энцефалита у ребенка</article-title><trans-title-group xml:lang="en"><trans-title>A clinical case of enterovirus encephalitis in a child</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8698-3241</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мальцева</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Mal'ceva</surname><given-names>Yu. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мальцева Юлия Вадимовна, к.м.н., доцент кафедры внутренних болезней</p><p>г. Орел</p></bio><bio xml:lang="en"><p>Maltseva Yulia V., PhD Med, associate professor at Dept of Internal Medicine</p><p>Orel</p></bio><email xlink:type="simple">79155022098@ya.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-7817-0200</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Королева</surname><given-names>Л. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Koroleva</surname><given-names>L.  Y.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Королева Лилия Юрьевна, ст. преподаватель кафедры внутренних болезней</p><p>г. Орел</p></bio><bio xml:lang="en"><p>Koroleva Liliya Yu., senior lecturer at Dept of Internal Medicine</p><p>Orel</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Орловский Государственный университет имени И.С. Тургенева»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Orel State University named after I.S. Turgenev</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>29</day><month>07</month><year>2025</year></pub-date><volume>0</volume><issue>16</issue><issue-title>Эпидемиология, гигиена, инфекционные болезни (1)</issue-title><fpage>43</fpage><lpage>46</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мальцева Ю.В., Королева Л.Ю., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Мальцева Ю.В., Королева Л.Ю.</copyright-holder><copyright-holder xml:lang="en">Mal'ceva Y.V., Koroleva L.Y.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-alphabet.com/jour/article/view/4486">https://www.med-alphabet.com/jour/article/view/4486</self-uri><abstract><p>Вбольшинстве случаев энтеровирусная инфекция (ЭВИ) характеризуется неосложненным течением ипротекает вформе герпангины, синдрома «рука-нога-рот», вирусной экзантемы и энтерита. Наиболее редкие и осложненные формы ЭВИ у детей, ассоциированы с поражением центральной нервной системы. Каждый десятый случай энцефалита у ребенка заканчивается тяжелой инвалидизацией или летальным исходом, в связи, с чем энцефалит является значимым бременем для здравоохранения, что обуславливает актуальность нашей работы.</p><p>Цель: продемонстрировать клинический случай энтеровирусного энцефалита у ребенка. Продемонстрированный нами клинический случай отражает полиморфизм клинических проявлений ЭВИ: дебют заболевания у ребенка сопровождался появлением фебрильной лихорадки и симптомов энтерита с последующим развитием энцефалита. Диагностический поиск подтвердил этиологию энтеровирусного энцефалита положительным анализом ликвора методом ПЦР, при этом из других локусов вирус выделить не удалось, по данным мультиспиральной компьютерной томографии головного мозга патологических изменений не отмечено. Таким образом, продемонстрированный нами клинический случай позволил обратить внимание врачей на редкую форму энтеровирусного энцефалита с реализацией у ребенка долгосрочных неврологических нарушений, что требует разработки специфических методов профилактики и совершенствования методов реабилитации, позволив снизить риск развития инвалидизации.</p></abstract><trans-abstract xml:lang="en"><p>In most cases, enterovirus infection (EVI) is characterized by an uncomplicated course and occurs in the form of herpangina, hand-foot-mouth syndrome, viral exanthema and enteritis. The most rare and complicated forms of EVI in children are associated with damage to the central nervous system. Every tenth case of encephalitis in a child ends in severe disability or death, and therefore encephalitis is a significant burden for public health, which determines the relevance of our work.</p><p>Objective: to demonstrate a clinical case of enterovirus encephalitis in a child. The clinical case we demonstrated reflects the polymorphism of the clinical manifestations of EVI: the onset of the disease in a child was accompanied by the appearance of febrile fever and symptoms of enteritis, followed by the development of encephalitis. The diagnostic search confirmed the etiology of enterovirus encephalitis with a positive analysis of cerebrospinal fluid by PCR, while it was not possible to isolate the virus from other loci, according to multispiral computed tomography of the brain, no pathological changes were noted. Thus, the clinical case we demonstrated made it possible to draw the attention of doctors to a rare form of enterovirus encephalitis with the realization of long-term neurological disorders in a child, which requires the development of specific methods of prevention and improvement of rehabilitation methods, allowing to reduce the risk of disability.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>энтеровирусная инфекция</kwd><kwd>дети</kwd><kwd>энцефалит</kwd><kwd>клинический случай</kwd><kwd>лечение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>enterovirus infection</kwd><kwd>children</kwd><kwd>encephalitis</kwd><kwd>clinical case</kwd><kwd>treatment</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Chang LY, Lin HY, Gau SS et al. Enterovirus A71 neurologic complications and long-term sequelae. 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