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[肺炎链球菌引起的新生儿全身性感染。病例报告]

[Systemic neonatal infection by Streptococcus pneumoniae. A case report].

作者信息

Ortiz-Ibarra F J, Riega-Carnero R E, Posadas-López A, Arredondo-García J L

机构信息

Departamento de Infectología e Inmunología, Instituto Nacional de Perinatología, México, D.F.

出版信息

Bol Med Hosp Infant Mex. 1992 Dec;49(12):856-60.

PMID:1492917
Abstract

The neonatal sepsis by Streptococcus pneumoniae is a clinical manifestation well know, but very often reported. It's role as an etiologic agent is limited to sporadic references in the medical literature, since 1972 only about fifty cases of septicaemia and/or meningitis have been reported. In the Instituto Nacional de Perinatología, from a whole of 560 confirmed cases of septicaemia in the newborn within the last 6 years, only one has been documented as systemic infections by S. pneumoniae. This was a 32.2 gestational aged male patient, with antecedent of maternal chorioamnionitis. This patient presented early-onset sepsis and died during the first 12 hours of life. Presence of S. pneumoniae was found in the blood culture. The type of clinical presentation and its correlation to the perinatal infection is discussed.

摘要

新生儿肺炎链球菌败血症是一种众所周知但报道较少的临床表现。自1972年以来,其作为病原体的作用在医学文献中仅有零星提及,仅报告了约50例败血症和/或脑膜炎病例。在国家围产医学研究所,过去6年里560例确诊的新生儿败血症病例中,仅有1例被记录为肺炎链球菌引起的全身感染。这是一名孕32.2周的男性患者,其母亲有绒毛膜羊膜炎病史。该患者出现早发型败血症,在出生后12小时内死亡。血培养发现肺炎链球菌。本文讨论了临床表现类型及其与围产期感染的相关性。

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