一名12个月大患有重症疟疾的儿童出现十二指肠穿孔。

Duodenal perforation in a 12-month old child with severe malaria.

作者信息

Goldman Nina, Punguyire Damien, Osei-Kwakye Kingsley, Baiden Frank

机构信息

University of Cambridge, School of Clinical Medicine, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 0SP, UK.

出版信息

Pan Afr Med J. 2012;12:1. Epub 2012 May 3.

PMID:22826726

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3396855/

Abstract

Peptic ulcer disease (PUD) in children remains rare and difficult to diagnose before the onset of complications. We report on a case of a 12-month child with perforated duodenal ulcer, association with malaria. The severity of the febrile presentation and the positive laboratory confirmation of malaria delayed the diagnosis of PUD. Surgical intervention was successful and without significant sequelae. An awareness of the possibility, and a lower threshold for considering PUD in children may help prevent complications.

摘要

儿童消化性溃疡病（PUD）仍然罕见，且在并发症出现之前难以诊断。我们报告一例12个月大的患有十二指肠溃疡穿孔并伴有疟疾的患儿。发热表现的严重程度以及疟疾实验室检查呈阳性使得PUD的诊断延迟。手术干预成功，且无明显后遗症。认识到这种可能性，并降低对儿童PUD的诊断门槛，可能有助于预防并发症。