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致死性非分型流感嗜血杆菌败血症合并急性呼吸窘迫综合征:病例报告及文献复习

Fatal non-typeable Haemophilus influenzae sepsis complicated with acute respiratory distress syndrome: case report and literature review.

作者信息

Wang Sheng-Ru, Tseng Min-Hua, Lin Wei-Jen, Teng Ching-Shen, Wang Chih-Chien

机构信息

Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

出版信息

Scand J Infect Dis. 2005;37(11-12):921-5. doi: 10.1080/00365540500262492.

Abstract

A previously healthy 31-month-old male child became acutely ill with dyspnea and high fever 48 h after admission for acute bronchitis. He experienced sepsis and acute respiratory distress syndrome throughout the subsequent hospitalization, eventually expiring despite aggressive treatment with antibiotics and extracorporeal membrane oxygenation. Blood cultures yielded ampicillin-resistant non-typeable Haemophilus influenzae. To the best of our knowledge, this is the first reported case of fatal non-typeable H. influenzae sepsis and ARDS in a child without an underlying predisposing condition.

摘要

一名此前健康的31个月大男童因急性支气管炎入院48小时后,突然出现呼吸困难和高热。在随后的住院期间,他出现了败血症和急性呼吸窘迫综合征,尽管接受了抗生素和体外膜肺氧合的积极治疗,最终仍不幸死亡。血培养结果显示为耐氨苄西林的不可分型流感嗜血杆菌。据我们所知,这是首例无潜在易感因素的儿童致命性不可分型流感嗜血杆菌败血症和急性呼吸窘迫综合征的报告病例。

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