Department of Pediatrics, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu, Shizuoka 430-8558, Japan.
J Infect Chemother. 2009 Oct;15(5):325-7. doi: 10.1007/s10156-009-0705-9. Epub 2009 Oct 24.
A 6-year old girl was admitted to our hospital with high fever and right upper quadrant abdominal pain. At 5 years of age she had undergone allogeneic bone marrow transplantation because of intractable congenital pure red cell aplasia, after which she had asymptomatic cholelithiasis. Imaging studies and laboratory findings on admission suggested acute cholecystitis with a gallstone. The patient recovered completely after laparoscopic cholecystectomy was performed and was discharged on day 7 after the operation. Haemophilus influenzae grew on the aspirated purulent bile. It should be noted that H. influenzae can cause cholecystitis in children.
一位 6 岁女孩因高热和右上腹疼痛被收入我院。她在 5 岁时因难治性先天性纯红细胞再生障碍性贫血接受了异基因骨髓移植,此后无症状性胆石症。入院时的影像学研究和实验室结果提示合并胆石症的急性胆囊炎。行腹腔镜胆囊切除术治疗后患者完全康复,术后第 7 天出院。吸出的脓性胆汁中培养出流感嗜血杆菌。需要注意的是,流感嗜血杆菌可导致儿童胆囊炎。