Connelly M B, Zerella J T
Department of Pediatric Surgery, Phoenix Children's Hospital, AZ, USA.
J Pediatr Surg. 2000 Nov;35(11):1633-4. doi: 10.1053/jpsu.2000.18339.
BACKGROUND/PURPOSE: Operations for Coccidioides immitis infection in children have received little study. The authors perceived an increase in the number of patients requiring operations for coccidioidomycosis at Phoenix Children's Hospital. The authors therefore reviewed the surgical management of children with C immitis infection in Phoenix, Arizona.
The medical records of all children hospitalized from 1994 to 1999 with a confirmed laboratory diagnosis of coccidioidomycosis were reviewed. Age, gender, race, immune status, laboratory data, operations, and outcome were recorded.
Of 39 children with proven coccidioidomycosis, 21 patients (54%) underwent a total of 49 operations. Boys represented 72% of all children reviewed. Sixteen patients (29% of the operative cohort) were immunocompromised. Thoracic procedures (19 cases) were most frequent.
Over half the children hospitalized for coccidioidomycosis required at least 1 operation. Most were immunocompetent boys with thoracic disease. Pediatric surgeons, who provide the bulk of operative care, should expect to encounter coccidioidomycosis in endemic areas, and increasingly in nonendemic areas.
背景/目的：儿童球孢子菌感染的手术治疗研究较少。作者注意到菲尼克斯儿童医院因球孢子菌病需要手术治疗的患者数量有所增加。因此，作者回顾了亚利桑那州菲尼克斯市患有球孢子菌感染儿童的外科治疗情况。
回顾了1994年至1999年期间所有因实验室确诊为球孢子菌病而住院的儿童的病历。记录年龄、性别、种族、免疫状态、实验室数据、手术情况及结果。
在39例确诊为球孢子菌病的儿童中，21例（54%）共接受了49次手术。男孩占所有接受评估儿童的72%。16例患者（占手术队列的29%）存在免疫功能低下。胸部手术（19例）最为常见。
因球孢子菌病住院的儿童中，超过半数至少需要进行1次手术。大多数是患有胸部疾病的免疫功能正常的男孩。提供大部分手术治疗的小儿外科医生应预计在流行地区，以及越来越多地在非流行地区遇到球孢子菌病。
