一名患有慢性肉芽肿病的儿童出现噬血细胞综合征和洋葱伯克霍尔德菌脾脏微脓肿。
Hemophagocytic syndrome and Burkholderia cepacia splenic microabscesses in a child with chronic granulomatous disease.
作者信息
Sirinavin Sayomporn, Techasaensiri Chonnamet, Pakakasama Samart, Vorachit Malai, Pornkul Rattanaporn, Wacharasin Rames
机构信息
Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
出版信息
Pediatr Infect Dis J. 2004 Sep;23(9):882-4. doi: 10.1097/01.inf.0000137565.23501.03.
Hemophagocytic syndrome, splenic microabscesses and pulmonary cavitary lesions were presented in a 17-month-old boy with prolonged fever, hepatosplenomegaly and a history of tuberculous lymphadenitis. Clinical course mimicked tuberculosis. Blood cultures were negative. Ultrasound-guided, percutaneous aspiration from splenic microabscesses grew Burkholderia cepacia. He was treated successfully with trimethoprim-sulfamethoxazole. This child with chronic granulomatous disease had an unusual clinical manifestation of B. cepacia infection.
一名17个月大的男孩出现噬血细胞综合征、脾微脓肿和肺空洞性病变，伴有长期发热、肝脾肿大及结核性淋巴结炎病史。临床病程类似结核病。血培养阴性。超声引导下经皮穿刺脾微脓肿抽出物培养出洋葱伯克霍尔德菌。他接受复方新诺明治疗后成功康复。这名患有慢性肉芽肿病的儿童出现了洋葱伯克霍尔德菌感染的不寻常临床表现。
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