在健康婴儿的非类型菌性沙门氏菌肌炎和骨髓炎
Matthew Penfold1,2, Margaret Hasler3, Elizabeth Rahman3
1Department of Paediatrics, Walter Reed National Military Medical Centre, Bethesda, Maryland, USA matthew.d.penfold.mil@health.mil.
BMJ case reports
|April 16, 2025
概括
非型沙门氏菌可以在胃肠炎后在婴儿中引起罕见,严重的骨和肌肉感染. 迅速的手术和抗生素治疗对于从这些侵入性沙门氏菌感染中恢复至关重要.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 整形外科 整形外科 整形外科
背景情况:
- 非型沙门氏菌感染是常见的胃肠道疾病.
- 带有沙门氏菌的骨关节感染很少见,特别是在免疫能力强的婴儿中.
- 胃肠炎可以在侵袭性沙门氏菌感染之前发生.
研究的目的:
- 在婴儿中报告一种罕见的侵袭性非类型型沙门氏菌骨关节感染病例.
- 突出沙门氏菌相关的肌肉骨并发症的诊断和管理挑战.
- 强调在患有胃肠炎后肌肉骨症状的婴儿中考虑侵入性沙门氏菌的重要性.
主要方法:
- 一个健康的婴儿患有伪麻和发烧的案例报告.
- 诊断成像包括MRI,以确定骨髓炎和.
- 治疗包括手术灌和除菌,随后是肠道抗生素.
主要成果:
- 婴儿患有肌肉炎,随后患有带的骨髓炎.
- 通过手术干预和六周的抗生素疗程成功管理.
- 病原体被确定为沙门氏菌 (Salmonella enterica serovar Enteritidis) 的病原体.
结论:
- 侵袭性非类型型型沙门氏菌感染可能导致婴儿严重的骨关节并发症.
- 早期识别和积极管理,包括手术和抗生素,至关重要.
- 沙门氏菌胃肠炎后儿童的肌肉骨疾病需要对侵入性疾病进行彻底的调查.
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