内侵入性A组链球菌:儿童的神经外科紧急情况
Dana Hutton1,2, Michelle Kameda-Smith1, Fardad T Afshari1
11Department of Neurosurgery, Great Ormond Street Hospital for Children, London.
Journal of neurosurgery. Pediatrics
|July 13, 2023
概括
侵袭性A型链球菌 (iGAS) 感染可能会导致儿童罕见但严重的内并发症. 迅速的神经外科和抗生素治疗对于更好的神经学结果至关重要.
科学领域:
- 儿科神经外科 儿科神经外科
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 侵袭性A型链球菌 (iGAS) 感染与高发病率和死亡率有关.
- 中枢神经系统 (CNS) 参与iGAS并不常见,占儿童细菌脑膜炎的0.2%-1%.
- 在2022年,全球红热病和iGAS,特别是emm1.0亚型的全球增加被观察到.
研究的目的:
- 在儿童神经外科患者中报告iGAS相关的性内并发症.
- 突出需要提高对这些罕见但严重的感染的认识.
主要方法:
- 进行了回顾性图表审查.
- 分析了儿科神经外科患者确诊的GAS病例.
主要成果:
- 五名儿童 (平均年龄为9岁) 在2022年底的两个月内出现了内并发症.
- 感染包括带有脑炎的腹腔内,外腔内,内,脑膜内.
- 在大多数情况下,发现了包括emm1.0亚型在内的Streptococcus pyogenes;结果各不相同,有1例死亡.
结论:
- 很少报告IGAS的内并发症,导致潜在的意识缺乏.
- 迅速转诊到儿科神经病学/神经外科中心是必不可少的.
- 优化神经结果需要提高对iGAS内疾病的认识和及时干预.
相关概念视频
Tonsillitis I: Introduction
328
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
328
Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
Aneurysm II: Clinical Manifestations and Diagnostic Studies
10
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
10


