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暴发性脑膜炎球菌性会厌炎：一种新出现的感染综合征？

Fulminant meningococcal supraglottitis: An emerging infectious syndrome?

作者信息

Schwam E, Cox J

机构信息

Sturdy Memorial Hospital, Attleboro, Massachusetts 02703-7043, USA.

出版信息

Emerg Infect Dis. 1999 May-Jun;5(3):464-7. doi: 10.3201/eid0503.990323.

DOI:10.3201/eid0503.990323
PMID:10341189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2640782/
Abstract

We report a case of fulminant supraglottitis with dramatic external cervical swelling due to associated cellulitis. Blood cultures were positive for Neisseria meningitidis. The patient recovered completely after emergency fiberoptic intubation and appropriate antibiotic therapy. We summarize five other cases of meningococcal supraglottitis, all reported since 1995, and discuss possible pathophysiologic mechanisms.

摘要

我们报告一例暴发性会厌炎病例，该病例因伴有蜂窝织炎导致颈部外侧显著肿胀。血培养显示脑膜炎奈瑟菌阳性。患者在紧急纤维支气管镜插管和适当的抗生素治疗后完全康复。我们总结了自1995年以来报告的另外5例脑膜炎球菌性会厌炎病例，并讨论了可能的病理生理机制。

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本文引用的文献

1
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Acute supraglottitis: when a sore throat becomes severe.
Geriatrics. 1997 Mar;52(3):65-6, 69.
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Acute epiglottitis due to serogroup Y Neisseria meningitidis in in an audit.
Clin Infect Dis. 1996 Nov;23(5):1192-3. doi: 10.1093/clinids/23.5.1192.
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Acute epiglottitis in the adult caused by Neisseria meningitidis.
Scand J Infect Dis. 1995;27(1):77-8. doi: 10.3109/00365549509018978.
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