患有性综合征的儿童患有坎皮洛巴克特菌病:一个病例报告
Matthew S Kreitman1, Maya Heled Akiva2,3, Evgenia Gurevich1,4
1Pediatric Department, Barzilai University Medical Center, Ashkelon, ISR.
Cureus
|October 3, 2025
概括
在患有性综合征的儿童中,Campylobacter bacteremia很少发生. 这一案例凸显了考虑非典型细菌和调整抗生素治疗的必要性,以便在儿童性综合征患者中获得更好的结果.
科学领域:
- 儿科脏病学 儿科脏病学
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 性综合征 (NS) 增加了儿童严重细菌感染 (SBI) 的风险.
- 在NS中常见的SBI包括自发的细菌性腹膜炎,败血症和Streptococcus pneumoniae或Escherichia coli感染.
- 坎比洛巴克特细菌病以前没有在儿科NS中报告过.
研究的目的:
- 在患有性综合征的儿童中报告坎皮洛巴克特细菌病的第一个病例.
- 强调在儿科NS感染中考虑非典型病原体的重要性.
- 强调需要及时适当地调整抗生素治疗的必要性.
主要方法:
- 一个案例报告,一个七岁的男孩患有NS,出现发烧,腹和腹痛.
- 怀疑SBP的初始实证抗生素治疗.
- 血液培养物识别Campylobacter jejuni和随后的抗生素治疗的改变.
主要成果:
- 坎比洛巴克特 (Campylobacter jejuni) 被确定为导致细菌病的致病体.
- 患者的病情在阿齐思罗米治疗后得到改善.
- 重复的血液培养结果呈阴性,患者在良好的健康状况下出院.
结论:
- 坎比洛巴克特细菌性血症可能发生在儿科性综合征中.
- 对非典型的细菌病原体的高度怀疑指数在NS患者中至关重要.
- 替代抗生素策略可能是必要的,以获得成功的治疗.
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