儿科急性叶侧脏病:一个病例系列和文献综述
Kfir Lavi1, Adi Klein1,2, Noy Shtein1
1Department of Pediatrics, Hillel Yaffe Medical Center, Hadera, Israel.
International journal of nephrology and renovascular disease
|December 23, 2024
概括
在儿童中,急性叶膜 (ALN) 可能被低诊断. 及时诊断和抗生素治疗对于预防腹和痕等并发症至关重要.
科学领域:
- 儿科脏病学 儿科脏病学
- 传染性疾病 传染性疾病
- 医疗成像医学成像
背景情况:
- 急性叶膜 (ALN) 是一种没有液化的焦点感染.
- 从历史上看,在儿童中被认为是罕见的,ALN可能被低诊断.
- 诊断不足可能导致脏腹和痕.
研究的目的:
- 描述儿科ALN的临床表现,调查,治疗和结果.
- 强调临床怀疑在诊断ALN中的重要性,即使有负面的尿液分析和培养.
主要方法:
- 5名被诊断患有ALN的儿科患者的病例系列.
- 使用PubMed的文献综述,关键词是"急性叶膜脏病"和"儿科".
- 通过CT扫描和脏超声波检查证实了诊断.
主要成果:
- 发烧和炎症标志物升高是主要症状;尿液分析和培养是负的.
- 图像检测显示,高性和低性局部膜.
- 静脉注射的抗生素,然后是口服的阿莫西西林-克拉夫兰酸,导致成功治疗,没有复发或长期病理.
结论:
- 在患有腹痛和炎症标志物升高的儿科患者中,对ALN的高怀疑指数是必要的.
- 皮尤里亚和阴性培养的缺失不应该排除ALN.
- 早期诊断和适当的抗生素治疗是儿童ALN有利结果的关键.
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