Chisti Mohammod J, Salam Mohammed A, Pietroni Mark A C
Clinical Sciences Division,, ICDDR,B, Mohakhali, Dhaka 1212, Bangladesh.
J Health Popul Nutr. 2009 Dec;27(6):808-12. doi: 10.3329/jhpn.v27i6.4333.
A three-month old boy was admitted to the Dhaka Hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Dhaka, Bangladesh, with the problems of acute watery diarrhoea with some dehydration and suspected dyseletrolytaemia, severe malnutrition, and reduced activity. Occult pneumonia was added to the problem list after demonstration of radiologic consolidation in right upper lung, despite the lack of clinical signs, both on admission and after correction of dehydration. The problem list was further expanded to include bacteraemia due to Staphylococcus aureus when the blood culture report was available. Severely-malnourished children may not exhibit typical clinical signs of pneumonia, and the possibility of existence of such problems should be remembered in the assessment and provision of care to hospitalized young children with severe malnutrition.
一名三个月大的男童被收治入孟加拉国达卡国际腹泻病研究中心（ICDDR,B）达卡医院，他存在急性水样腹泻并伴有一定程度脱水、疑似电解质紊乱、严重营养不良以及活动减少的问题。尽管入院时及脱水纠正后均无临床症状，但右上肺经放射学检查显示有实变，因此在问题清单中增加了隐匿性肺炎。血培养报告出来后，问题清单进一步扩大，包括了由金黄色葡萄球菌引起的菌血症。严重营养不良的儿童可能不会表现出典型的肺炎临床症状，在评估和护理住院的严重营养不良幼儿时，应牢记存在此类问题的可能性。
