Nickinson Andrew, Minhas Jatinder Singh, Bhalla Minak, Anwuzia-Iwegbu Charles, Chapman John
Norwich Medical School, University of East Anglia, Norwich, UK.
BMJ Case Rep. 2011 Jul 20;2011:bcr0320114014. doi: 10.1136/bcr.03.2011.4014.
A 2-year-old girl presented to the James Paget University Hospitals Trust with croup-like symptoms and was later discharged with dexamethasone syrup. The patient re-presented 6 h later following maternal concern with signs of acute respiratory distress. After a period of clinical stability, she acutely decompensated without any prior signs of a life-threatening deterioration. She was managed using nebulised epinephrine and showed signs of clinical improvement. Although improvement persisted, the child showed signs of exhaustion following the preceding events and was later intubed with an endotracheal tube and transferred to the paediatric intensive care unit at Addenbrooke's University Hospital, Cambridge. Endotracheal aspiration later grew parainfluenza virus, rhinovirus and Staphylococcus aureus and the patient was diagnosed with the exceptionally rare life threatening complications of croup, bacterial tracheitis. The patient was discharged from intensive care 7 days later and has since made a full recovery.
一名2岁女童因类似哮吼的症状就诊于詹姆斯·佩吉特大学医院信托基金，随后服用地塞米松糖浆出院。6小时后，患儿因母亲担心其出现急性呼吸窘迫体征而再次就诊。经过一段时间的临床稳定后，她突然病情恶化，此前没有任何危及生命的恶化迹象。对她使用雾化肾上腺素进行治疗，她表现出临床改善的迹象。尽管病情持续好转，但患儿在经历上述事件后出现疲惫迹象，随后接受气管插管，并被转至剑桥阿登布鲁克大学医院的儿科重症监护病房。气管内吸出物后来培养出副流感病毒、鼻病毒和金黄色葡萄球菌，该患者被诊断患有极为罕见的危及生命的哮吼并发症——细菌性气管炎。患者7天后从重症监护病房出院，此后已完全康复。
