多剤耐性Acinetobacter baumanniiとの共感染により合併した毒性ショック症候群
1Pediatrics, BLDE Deemed to be University, Vijayapura, Karnataka, India.
BMJ case reports
|September 1, 2025
まとめ
少女の毒性ショック症候群 (TSS) の珍しい症例は,Acinetobacter baumanniiによって引き起こされました. 迅速な診断と積極的な治療により,完全な回復が認められ,小児性症における重要な差異診断としてTSSが強調されました.
科学分野:
- 小児科
- 感染症
- クリティカル ケア 医療
背景:
- 毒性ショック症候群 (TSS) は重症で多系統疾患である.
- TSSはしばしばStaphylococcus aureusと関連していますが,他の細菌もTSSを引き起こす可能性があります.
- 迅速な認識と管理は,好ましい結果のために不可欠です.
研究 の 目的:
- 子供のTSSの症例を報告する
- 病原体を特定し,診断の課題を強調する.
- 子どものセプシスにおけるTSSの重要性を強調する.
主な方法:
- ティーンエイジャー少女の症例報告 TSSの症状を示唆している
- 臨床検査,検査,微生物培養
- 治療にはサポートケア,抗生物質,液体蘇生が含まれていました.
主要な成果:
- 患者は発熱,発疹,低血圧,臓器機能障害を呈した.
- アキシラーリンパ節胞培養により,Acinetobacter baumanniiが病原体として特定されました.
- 患者は適切な治療で1週間以内に完全に回復し,特徴的な脱皮を示しました.
結論:
- アシネトバクター・バウマンニーは子供に毒性ショック症候群を引き起こす可能性があります.
- TSSは,発熱,発疹,低血圧の小児患者の差分診断に含まれます.
- 早期に積極的な治療は TSS の患者のアウトカムを改善するために不可欠です
さらに関連する動画
関連する概念動画
Acute Pyelonephritis II: Diagnostic Studies and Management
39
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
39
Urinary Tract Infection II: Pathophysiology
43
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
43
Acute Pyelonephritis I: Introduction
44
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
44
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.4K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.4K


