Berthomieu L, Boumahni B, Jamal Bey K, Peslages P, Rayet I, Teyssier G
Service de réanimation néonatale et pédiatrique, groupe hospitalier Sud-Réunion, 97410 Saint-Pierre, Réunion, France.
Arch Pediatr. 2010 Feb;17(2):144-8. doi: 10.1016/j.arcped.2009.10.020. Epub 2009 Dec 4.
Three infants aged less than 2 months were hospitalized for malignant pertussis. Echocardiography showed pulmonary hypertension. High-frequency oscillations and nitric oxide were ineffective. Respiratory and hemodynamic conditions deteriorated secondarily. The third case received an exchange transfusion without success. All three infants died following multiorgan failure. Malignant pertussis is the leading cause of infectious death in infants less than 2 months of age, treatment is often ineffective, and prevention, targeting the population of young adults, is particularly important.
三名年龄小于2个月的婴儿因恶性百日咳住院。超声心动图显示有肺动脉高压。高频振荡通气和一氧化氮治疗无效。呼吸和血流动力学状况继而恶化。第三例患儿接受了换血治疗但未成功。所有三名婴儿均因多器官衰竭死亡。恶性百日咳是2个月以下婴儿感染性死亡的主要原因,治疗往往无效,针对年轻成年人的预防措施尤为重要。