一个12岁男孩的急性细菌性前列腺炎没有任何潜在疾病
Kaoru Kinoshita1, Michio Suzuki1, Masaki Koketsu1
1Pediatrics, Anjo Kosei Hospital, Aichi, JPN.
Cureus
|June 24, 2024
概括
急性细菌性前列腺炎 (ABP) 在儿童中很少见. 这一案例凸显出ABP可以在儿科患者中引起长期发烧,并强调CT扫描的诊断效用.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 传染性疾病 传染性疾病
背景情况:
- 急性细菌性前列腺炎 (ABP) 是成人常见的疾病,但在儿童中很少发生.
- 对抗微生物药物治疗耐药的发烧在儿科患者中可能会带来诊断挑战.
研究的目的:
- 在以前健康的儿童中报告急性细菌性前列腺炎病例.
- 突出了儿科ABP的诊断方法和管理.
主要方法:
- 一个12岁的男孩出现了长时间的发烧和不适,尽管最初的抗微生物治疗.
- 诊断工作包括尿液分析,尿液培养和对比度增强计算机断层扫描 (CT) 扫描.
- 治疗包括为期10周的抗菌疗法.
主要成果:
- 确定了皮尤里亚,前列腺扩大,可能出现.
- 与对比度增强的CT扫描证实了ABP的诊断.
- 在随后的尿液培养中发现了Corynebacterium pyruviciproducens.
- 患者通过抗微生物治疗得到改善,并没有出现复发.
结论:
- 在儿童长期发烧的差异诊断中应考虑急性细菌性前列腺炎.
- 增强对比度的CT成像对于在儿科病例中诊断ABP非常有价值.
- 过早使用抗菌药物可能会使儿科ABP的诊断和治疗复杂化.
相关概念视频
01:26Sexually Transmitted Infections
299
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
299
01:30Acute Pharyngitis
576
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
576