一个健康孩子的内心炎:一个罕见的诊断,来源不明
Daniela Henriques1, Sofia Guedes1, Joana Antunes1
1From the Department of Pediatrics, Unidade Local de Saúde Lezíria, Santarém.
The Pediatric infectious disease journal
|December 9, 2025
概括
传染性内心炎很少见,但这种病例突出显示了Pasteurella canis作为儿童的潜在原因. 在这种严重的心脏感染的不寻常呈现时,应考虑罕见的病原体.
科学领域:
- 传染性疾病 传染性疾病
- 儿童心脏病学 儿童心脏病学
- 微生物学 微生物学
背景情况:
- 传染性内心炎 (IE) 是一种罕见的感染,通常影响具有先前存在风险因素的个体.
- 已知Pasteurella种类会引起皮肤感染,但系统性感染,特别是IE,并不常见.
- 儿科IE病例不常见,特别是在以前健康的儿童中.
研究的目的:
- 报告第一例儿科病例,可能是由Pasteurella canis引起的传染性内心炎.
- 强调在儿童感染性内心炎的非典型临床表现中考虑罕见病原体的重要性.
- 突出巴氏菌 (Pasteurella canis) 在典型的皮肤表现之外可能引起严重的全身感染的潜力.
主要方法:
- 一个先前健康的儿科患者的病例报告呈现出暗示感染性内心炎的症状.
- 诊断工作包括血液培养和心声回声.
- 鉴定Pasteurella canis作为病原体.
主要成果:
- 一个以前健康的男孩患上了可能的传染性内心炎.
- 确定的致病原体是Pasteurella canis. 这种病原体.
- 该患者没有先天性心脏病或假肢材料的病史,代表了非典型的风险概况.
结论:
- 狗菌可以引起传染性内心炎,即使在以前健康的儿童中,没有传统的风险因素.
- 这一案例强调了儿童患者怀疑感染性内心炎时需要广泛的差异诊断,包括罕见的病原体.
- 临床医生在评估内心炎时应考虑Pasteurella物种,特别是在有异常暴露史或异常呈现的病例中.
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