在一个没有免疫缺陷的3个月大的婴儿中,迅速进展的传播的Bacillus Calmette-Guérin感染 (BCGitis):一个病例报告
Nathalya Queiroz Perillo1, Taynara Heliodoro2,3, Leandro Azevedo De Camargo1
1Department of Otolaryngology, Head and Neck Surgery, Hospital das Clínicas, Federal University of Goiás, Goiânia, GO, Brazil.
传播性Bacillus Calmette-Guerin (BCG) 疾病是一种罕见的,致命的BCG疫苗接种并发症. 早期的识别和7个月的抗生素治疗导致了先前健康的婴儿的成功治疗.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 疫苗学 疫苗学 疫苗学
背景情况:
- 传播性Bacillus Calmette-Guerin (BCG) 疾病是一种严重的,罕见的BCG疫苗接种并发症,死亡率高.
- 它主要影响免疫力低下的儿童,每百万接种疫苗的人均发病率为1.56-4.29.
- 典型的病变出现在注射部位附近,但也可能出现罕见的表现.
研究的目的:
- 报告一种罕见的传播性BCGitis病例,不寻常地涉及头部和部.
- 突出诊断挑战和成功治疗这种严重并发症.
- 强调早期诊断的重要性,以改善患者的治疗结果.
主要方法:
- 一个3个月大的婴儿患有传播的BCG感染病例报告.
- 描述了临床表现,诊断调查和治疗方案.
- 长期随访以评估后果和神经发育.
主要成果:
- 婴儿在头和部出现了广泛的皮肤,皮下,骨,淋巴和全身并发症.
- 病变模仿恶性瘤由于快速,破坏性增长.
- 经过7个月的瑞芬素,异亚和乙胺醇疗程的成功治疗,导致完全消失,没有后续症状.
结论:
- 散布的BCGitis可以偶尔出现或作为一次性/二次性免疫缺陷的迹象.
- 快速的进展和高死亡率强调了急需及时诊断和干预的迫切需要.
- 该案例表明,即使是严重的表现也可以通过适当的抗菌药物治疗成功管理.
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