[肺炎链球菌性脓性胸膜炎与溶血性尿毒症综合征。病例报告]
[Streptococcus pneumoniae purulent pleurisy and hemolytic uremic syndrome. A case report].
作者信息
Bouguila J, Limam F, Le Bourgeois M, Kwon T, Biebuyck N, Marchac V, De Blic J, Scheinmann P
机构信息
Service de Pneumologie et d'Allergologie Pédiatriques, Hôpital Necker-Enfants Malades, 149, rue de Sèvres, 75015 Paris.
出版信息
Rev Pneumol Clin. 2003 Sep;59(4):209-12.
PMID:14699298
Abstract
A 22-month-old infant developed purulent pleurisy caused by Streptococcus pneumoniae and a hemolytic uremic syndrome. The diagnosis was suggested by the classical triad: hemolytic anemia, renal failure and thrombocytemia confirmed by renal biopsy which demonstrated extensive cortical necrosis. Renal involvement was severe, justifying an indication for renal transplantation.
摘要
一名22个月大的婴儿患上了由肺炎链球菌引起的化脓性胸膜炎和溶血尿毒综合征。诊断依据典型的三联征：溶血性贫血、肾衰竭和血小板减少症，肾活检证实了这一点，活检显示广泛的皮质坏死。肾脏受累严重，有进行肾移植的指征。
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