过早出生的婴儿患有死性肠球炎和动脉炎,这是由于Streptococcus gallolyticus亚种pastaurianus的次要原因
J A Stewart1, E Culverhouse1, Mathew Harrell2
1Department of Pediatrics, Tripler Army Medical Center, Honolulu, HI, USA.
Journal of neonatal-perinatal medicine
|April 26, 2024
概括
新生儿中的Streptococcus gallolyticus亚种pastaurianus bacteremia可以呈现为死角性肠球炎 (NEC). 这一案例凸显了NEC和内心炎在早产婴儿中罕见的同时发生,强调了全面评估的必要性.
科学领域:
- 新生儿医学 新生儿医学
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- Streptococcus gallolyticus pasteurianus亚种 (S. gallolyticus pasteurianus) 是新生儿败血症的一个新出现的原因.
- 在成年人中,S. bovis感染促使评估胃肠道和心脏并发症.
- 对于评估新生儿S. bovis感染,目前还没有确定的指导方针.
研究的目的:
- 报告S. gallolyticus pasteurianus bacteremia在早产婴儿中呈现为死性肠球炎 (NEC) 的新病例.
- 为了突出这一新生儿背景下内心炎的罕见并发症.
- 为了强调新生儿败血症的彻底诊断评估的重要性.
主要方法:
- 一个早产婴儿患有S. gallolyticus pasteurianus bacteremia的病例报告.
- 结核性肠球炎 (NEC) 的临床表现.
- 诊断工作包括心声回声图,以评估内心炎.
主要成果:
- 婴儿出现了S. gallolyticus pasteurianus细菌病和死性肠球炎 (NEC),这是以前没有描述的表现.
- 心声图显示了内心炎的罕见并发症.
- 这一病例扩大了新生儿中S. gallolyticus pasteurianus已知的临床谱.
结论:
- 新生儿中的S. gallolyticus pasteurianus bacteremia可以表现为NEC.
- 心内膜炎是新生儿患有S. gallolyticus pasteurianus bacteremia的一种罕见但可能的并发症.
- 对于患有S. gallolyticus pasteurianus败血症的新生儿,全面的诊断评估至关重要,以检测相关的心脏和胃肠道并发症.
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