Department of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2010 Dec;26(12):663-8. doi: 10.1016/S1607-551X(10)70101-7.
Multiple organ infarctions are a very rare clinical event in children. We report a 3-month-old infant with sepsis and disseminated intravascular coagulation, who was diagnosed with cerebral ischemic stroke associated with middle cerebral artery stenosis and subsequent retinal infarction by magnetic resonance imaging, fundoscopy and magnetic resonance angiography. In addition, he suffered from renal infarction with hypertension and was treated until 1 year of age. We emphasize the importance of early recognition of organ infarctions, prophylaxis of risk factors and of optimized therapy of the underlying etiology.
多器官梗死在儿童中是一种非常罕见的临床事件。我们报告了一例 3 个月大的婴儿,患有脓毒症和弥散性血管内凝血,通过磁共振成像、眼底镜检查和磁共振血管造影诊断为与大脑中动脉狭窄相关的脑缺血性中风和随后的视网膜梗死。此外,他还患有高血压性肾梗死,并接受治疗至 1 岁。我们强调了早期识别器官梗死、预防危险因素以及优化基础病因治疗的重要性。