在西班牙的A组链球菌的侵入性感染后的中炎
I Mellado-Sola1, E Cobo-Vázquez2,3, A Calvo-Fernandez4
1Pediatric and Infectious Diseases Department, La Paz University Hospital, Institute for Health Research (IdiPAZ), Pº Castellana, 261, Madrid, 28046, Spain. imesola@gmail.com.
European journal of pediatrics
|October 27, 2023
概括
侵袭性A型链球菌 (iGAS) 可以引起中炎,这是一个罕见但严重的儿科并发症. 早期诊断至关重要,特别是在深感染或肺炎时,需要高度的临床怀疑才能获得有利的结果.
科学领域:
- 儿童传染病 儿童传染病
- 关键护理医学 关键护理医学
- 细菌学 细菌学是一门学科.
背景情况:
- 众所周知,A组链球菌 (GAS) 会导致侵袭性和严重的儿科感染.
- 胸腔中炎是一种严重的胸腔感染,通常与深部有关.
研究的目的:
- 描述二次性中炎的病例侵袭性A组链球菌 (iGAS) 感染.
- 审查临床结果,并强调这种并发症在儿科文献中的罕见性.
主要方法:
- 对iGAS感染的回顾性病例系列分析.
- 在一个较大的IGAS患者队列中识别中炎病例.
- 关于与iGAS相关的儿科中炎的文献综述.
主要成果:
- 鉴定出5例因iGAS而导致的二次性中炎病例 (398例iGAS病例中的1.3%).
- 2022年12月发生了四起病例,通常与肺炎或深感染有关.
- 记录了临床结果,强调了iGAS相关的中炎的严重程度.
结论:
- 中炎是儿童iGAS感染的罕见但严重并发症.
- 快速诊断需要高临床怀疑指数,特别是患有深感染或复杂肺炎的患者.
- 早期识别和管理对于改善iGAS相关的中炎的结果至关重要.
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