Mazade M A, Evans E M, Starke J R, Correa A G
Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA.
Pediatr Infect Dis J. 2001 Apr;20(4):439-42. doi: 10.1097/00006454-200104000-00014.
We report an infant with congenital tuberculosis who presented with fulminant septic shock, disseminated intravascular coagulation and respiratory failure. Aggressive resuscitation and supportive care and prompt initiation of antituberculosis medications led to resolution of the shock state. We reviewed six other cases with a similar presentation. Congenital tuberculosis should be in the differential of the infant presenting acutely with sepsis syndrome.
我们报告了一名患有先天性结核病的婴儿,该婴儿表现为暴发性感染性休克、弥散性血管内凝血和呼吸衰竭。积极的复苏和支持治疗以及迅速开始抗结核药物治疗使休克状态得到缓解。我们回顾了其他6例有类似表现的病例。先天性结核病应列入急性出现败血症综合征婴儿的鉴别诊断范围。