甲状腺球菌尿液感染导致儿童的恶臭尿液:一个案例报告
Rajesh Dudani1, Amani Qasem1, Kingsley Udom1
1Department of Pediatrics, John H. Stroger, Jr. Hospital of Cook County, Chicago, USA.
Cureus
|April 8, 2024
概括
在儿童中出现了Aerococcus urinae感染,其独特特征是臭的尿液. 及时识别和短期的阿莫西西林治疗可以有效地管理这种罕见的儿科细菌感染.
科学领域:
- 儿童传染病 儿童传染病
- 微生物学 微生物学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 尿球球菌 (A. urinae) 感染通常在老年患者中发现,但在儿童中越来越多地发现.
- 关于儿童群体中A. urinae感染的临床表现和管理的文献有限.
- 实验室诊断方面的进步有助于在人类感染中检测A. urinae.
研究的目的:
- 在患有唐氏综合征的儿科患者中报告A. urinae感染病例.
- 为了突出儿童A. urinae感染的非典型表现.
- 强调早期诊断和治疗儿童A. urinae的重要性.
主要方法:
- 一个15个月大的男子患有唐氏综合征的病例报告.
- 临床检查,尿液分析和尿液培养.
- 用三天的阿莫西西林疗程进行治疗.
主要成果:
- 患者呈现出恶臭的尿液和皮尤里亚,尿液培养证实了A. urinae感染.
- 确定了潜在的双边轻度至中度水性.
- 通过短时间的阿莫西西林治疗,成功地解决了症状.
结论:
- 在患有恶臭尿液的儿科患者中,即使没有典型的尿路感染症状,也应考虑Aerococcus urinae感染.
- 及时识别和用阿莫西西林治疗可以有效地解决儿童的A. urinae感染.
- 早期干预可以防止更严重或侵入性感染的进展.
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