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新生儿耐甲氧西林金黄色葡萄球菌骨髓炎和脓毒性关节炎:诊断与管理

Methicillin-resistant Staphylococcus aureus osteomyelitis and septic arthritis in neonates: diagnosis and management.

作者信息

Korakaki Eftichia, Aligizakis Agisilaos, Manoura Antonia, Hatzidaki Eleftheria, Saitakis Emmanuel, Anatoliotaki Maria, Velivasakis Emmanuel, Maraki Sofia, Giannakopoulou Christina

机构信息

Department of Neonatology, University of Crete, Heraklin, Greece.

出版信息

Jpn J Infect Dis. 2007 May;60(2-3):129-31.

PMID:17515648
Abstract

Acute osteomyelitis (AO) in neonates, although rare, represents a diagnostic and therapeutic challenge. A high index of suspicion is necessary to make an early diagnosis, and the observation of clinical signs is crucial. The increasing prevalence of methicillin-resistant Staphylococcus aureus (MRSA) is an emerging problem in pediatrics. In neonates, MRSA infections can cause a wide spectrum of diseases including bone and joint infections. We report two cases of AO in full-term neonates, with no risk factors, due to MRSA.

摘要

新生儿急性骨髓炎(AO)虽罕见,但却是诊断和治疗上的一大挑战。高度怀疑对于早期诊断很有必要,而临床体征的观察至关重要。耐甲氧西林金黄色葡萄球菌(MRSA)患病率的上升是儿科领域一个新出现的问题。在新生儿中,MRSA感染可引发包括骨和关节感染在内的多种疾病。我们报告两例足月新生儿因MRSA感染导致的AO,且无危险因素。

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