一名此前健康的儿童发生急性败血症性无结石胆囊炎，并发由D群沙门氏菌引起的积脓。
Acute septicaemic acalculous cholecystitis complicated by empyema caused by Salmonella group D in a previously healthy child.
作者信息
Lo Wen-Tsung, Wang Chih-Chien, Chu Mong-Ling
机构信息
Department of Paediatrics, Tri-Service General Hospital, No 325, Cheng-Kung Road, Sec 2, Neihu 114, Taipei, Taiwan.
出版信息
Eur J Pediatr. 2002 Nov;161(11):575-7. doi: 10.1007/s00431-002-1051-4. Epub 2002 Sep 14.
UNLABELLED
We describe a rare case of acute acalculous cholecystitis (AC) due to Salmonella group D infection in a previously healthy child who developed gall bladder empyema and bacteraemia. Salmonella group D was recovered from blood culture, as well as cultures of stool, bile and gall bladder wall samples. The patient was successfully treated using cholecystectomy in combination with ceftriaxone therapy.
CONCLUSION
Rapid diagnosis of acute acalculous cholecysitis can reduce mortality in this disease.
未标注
我们描述了一例罕见的急性非结石性胆囊炎（AC）病例，该病例发生在一名此前健康的儿童身上，由D组沙门氏菌感染引起，患儿出现了胆囊积脓和菌血症。从血培养以及粪便、胆汁和胆囊壁样本培养物中分离出了D组沙门氏菌。患者通过胆囊切除术联合头孢曲松治疗获得成功治愈。
结论
急性非结石性胆囊炎的快速诊断可降低该病的死亡率。
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