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儿童急性链球菌后淋巴结膜炎的临床谱:克什米尔的经验
Imtiyaz Ahmad Bhat1, Mohd Ashraf2, Waseem Shafi Sheikh1
1Pediatrics, Government Medical College Srinagar, Srinagar, IND.
Cureus
|August 5, 2024
概括
急性链球菌后血球炎 (PSGN) 是儿童急性炎综合征的主要原因. 年龄较小的儿童,特别是那些有皮肤炎病史的儿童,患这种疾病的风险最高.
科学领域:
- 儿科 儿科 儿科
- 腎臟病學 (nephrology) 是一種醫學.
- 传染性疾病 传染性疾病
背景情况:
- 急性链球菌后血球膜炎 (PSGN) 是由于出血和高血压而导致儿童住院的常见原因.
- 了解患有急性炎综合征的儿童PSGN的临床特征和发病率至关重要.
研究的目的:
- 确定患有急性球炎 (AGN) 的儿童急性PSGN的临床特征和发生率.
主要方法:
- 一项前性观察性研究,涉及60名具有AGN特征的2-18岁儿童.
- 进行了详细的临床评估,实验室测试,成像和协议化治疗.
- 收集和分析数据以确定临床模式和结果.
主要成果:
- 在83.3% (50/60) 的儿科AGN病例中诊断出PSGN.
- 五岁以下的儿童,男性占优势 (1.6:1),受影响最多.
- 面部胀 (90%),低补充血和蛋白尿是普遍存在的;在76%的病例中,皮肤炎是感染的先兆.
- 急性损伤 (AKI) 发生在24%的患者中.
- 74%的处罚处分和94%的六个月后观察到完全解决.
结论:
- PSGN是小儿AGN的主要原因.
- 患有皮肤炎史的幼儿特别容易感染PSGN.
- 早期诊断和治疗对于管理潜在的并发症至关重要,如AKI.
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