Okascharoen Chusak, Nuntnarumit Pracha, Sirinavin Sayomporn
Department of Pediatrics, Division of Neonatology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Perinatol. 2003 Jan;23(1):79-81. doi: 10.1038/sj.jp.7210848.
We report on a female infant with disseminated tuberculosis who presented with clinical sepsis and disseminated intravascular coagulation starting at 14 days of age. Parenteral ofloxacin combined with streptomycin were used because the enteral route was not possible and intravenous isoniazid and rifampicin were not available. Rare complications including infection-associated hemophagocytic syndrome, hypercalcemia, and adrenal insufficiency were detected and successfully managed.
我们报告了一名患有播散性结核病的女婴,她在14日龄时出现临床败血症和弥散性血管内凝血。由于无法采用肠内给药途径且没有静脉用异烟肼和利福平,因此使用了胃肠外氧氟沙星联合链霉素治疗。检测到包括感染相关噬血细胞综合征、高钙血症和肾上腺功能不全在内的罕见并发症,并成功进行了处理。