[成人急性A组β溶血性链球菌性膜性喉气管支气管炎]
[Acute group A beta-hemolytic streptococcus membranous laryngotracheobronchitis in an adult].
作者信息
Beck N, Folia M, Mahy S, Duvillard C, Chanteret C, Lecomte H, Gazzano E, Piroth L, Romanet P
机构信息
Service d'otorhinolaryngologie, de chirurgie cervicofaciale et de phoniatrie, hôpital Général, 3, rue du Faubourg-Raines, BP 1519, 21033 Dijon cedex, France.
出版信息
Ann Otolaryngol Chir Cervicofac. 2008 Dec;125(6):318-22. doi: 10.1016/j.aorl.2008.09.003. Epub 2008 Nov 13.
OBJECTIVE
To describe the first case of a group A beta-hemolytic streptococcus laryngotracheobronchitis as well as the other possible etiologies in a case of acute dyspnea.
METHODS
We report the case of a 46-year-old woman with a doubtful vaccination status who presented clinical features of croup (laryngotracheobronchitis). She developed respiratory distress and required endotracheal intubation.
RESULTS
The endoscopy demonstrated a great deal of crust and pseudomembrane detachment. Bacterial culture grew group A beta-hemolytic streptococcus. Progression was good with antibiotics and corticosteroid treatment.
CONCLUSION
Bacterial acute pseudomembranous croup (laryngotracheobronchitis) is rare. We must search for the most frequent diagnoses such as diphtheria and epiglottitis. This is the first case to be reported in the literature.
目的
描述首例A组β溶血性链球菌喉气管支气管炎病例以及急性呼吸困难病例的其他可能病因。
方法
我们报告了一名46岁、疫苗接种情况不明的女性病例，该患者表现出哮吼（喉气管支气管炎）的临床特征。她出现了呼吸窘迫，需要进行气管插管。
结果
内镜检查显示有大量痂皮和假膜脱落。细菌培养长出A组β溶血性链球菌。经抗生素和皮质类固醇治疗后病情好转。
结论
细菌性急性假膜性哮吼（喉气管支气管炎）很罕见。我们必须排查最常见的诊断，如白喉和会厌炎。这是文献中报道的首例病例。
Zotero 插件