Sleiman Joseph N, D'Angelo Anthony, Hammerschlag Margaret R
Department of Pediatrics, Division of Infectious Diseases, Box 49, State University of New York Downstate Medical Center, 450 Clarkson Ave., Brooklyn, NY 11203, USA.
Pediatr Infect Dis J. 2007 Mar;26(3):266-7. doi: 10.1097/01.inf.0000254390.37410.ba.
Spontaneous bacterial peritonitis is the most common infectious complication of childhood nephrotic syndrome, and Streptococcus pneumoniae is the preponderant bacterial pathogen. Spontaneous bacterial cellulitis, especially of the lower extremities, is another common infection encountered in the same patient group given that chronic edema acts as a potential culture medium. Gram-positive bacteria, including streptococci and staphylococci, are the most common causes of bacterial cellulitis. We report a case of spontaneous Escherichia coli cellulitis in a patient with steroid-dependent nephrotic syndrome.
自发性细菌性腹膜炎是儿童肾病综合征最常见的感染并发症，肺炎链球菌是主要的细菌病原体。自发性细菌性蜂窝织炎，尤其是下肢的蜂窝织炎，是同一患者群体中另一种常见的感染，因为慢性水肿可作为潜在的培养基。革兰氏阳性菌，包括链球菌和葡萄球菌，是细菌性蜂窝织炎最常见的病因。我们报告一例依赖类固醇的肾病综合征患者发生自发性大肠杆菌蜂窝织炎的病例。
