在未接种疫苗的儿童中同时患有白喉和COVID-19感染
Shivanand Gundalli1, Srihari Poojari1, Aakash Balasubramanian1
1District Hospital Vijayapura, Vijayapura, KA, India.
BMJ case reports
|February 19, 2025
概括
一名患有白血病 (DPT) 和COVID-19共感染的儿童呈现严重症状. 用DPT抗毒素和抗生素迅速治疗导致完全恢复,没有并发症.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 病毒学 病毒学
背景情况:
- 脊髓灰质炎 (DPT) 是一种严重的细菌感染.
- 由SARS-CoV-2引起的COVID-19是一个全球性的健康问题.
- 同感染可以使疾病的表现和管理复杂化.
研究的目的:
- 在儿童中报告罕见的白病和SARS-CoV-2共感染病例.
- 描述这种共感染的临床表现,诊断和管理.
- 强调在儿科病例中考虑共感染的重要性.
主要方法:
- 一个中年儿童患者的病例报告.
- 临床检查,RT-PCR对DPT和SARS-CoV-2进行检查.
- 实验室调查 (白细胞计数,ALT).
- 胸部CT成像用于COVID-19肺炎评估.
- 用静脉注射DPT抗毒素和cefotaxime进行治疗.
主要成果:
- 同时的DPT和SARS-CoV-2共感染通过RT-PCR证实.
- 临床症状包括"牛",伪膜炎炎,白细胞升高和ALT升高.
- 胸部CT显示了中度的COVID-19肺炎.
- 症状在治疗后10天内消失.
- 3个月后完全康复,没有后续.
结论:
- 脊髓灰质炎和COVID-19的共感染是儿童罕见但严重的疾病.
- 早期诊断和适当的治疗对于有利的结果至关重要.
- 这一案例强调了对儿科传染病共感染的警的必要性.
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