Orenstein J B, Thomsen J R, Baker S B
Department of Emergency Medicine, Children's National Medical Center, Washington, DC 20010.
Am J Emerg Med. 1991 May;9(3):243-5. doi: 10.1016/0735-6757(91)90087-z.
Bacterial tracheitis is an uncommon cause of acute respiratory distress in children. The authors present a case of bacterial tracheitis in a 6-year-old girl caused by an unusual pathogen, Streptococcus pneumoniae. Her clinical presentation and radiographic findings are typical for an older child. Management of this case involved endotracheal intubation, although a review of the literature suggests that airway management can vary with age and size of the tracheal lumen. The microbiology of bacterial tracheitis shows a predominance of Staphylococcus and Streptococcus reported previously, with only three prior reported cases of Pneumococcus.
细菌性气管炎是儿童急性呼吸窘迫的罕见病因。作者报告了一例6岁女孩由罕见病原体肺炎链球菌引起的细菌性气管炎病例。她的临床表现和影像学表现对于年龄较大的儿童来说是典型的。该病例的治疗包括气管插管，尽管文献回顾表明气道管理会因气管腔的年龄和大小而有所不同。细菌性气管炎的微生物学显示，此前报道葡萄球菌和链球菌占主导，肺炎球菌此前仅有3例报告病例。
