社区相关性耐甲氧西林金黄色葡萄球菌坏死性肺炎致健康新生儿发病
Community-associated methicillin-resistant Staphylococcus aureus necrotizing pneumonia in a healthy neonate.
机构信息
Division of Neonatology, Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan; Division of Pediatric General Medicine, Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan.
Division of Neonatology, Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan.
出版信息
J Microbiol Immunol Infect. 2014 Dec;47(6):555-7. doi: 10.1016/j.jmii.2012.07.001. Epub 2012 Nov 20.
The number of cases of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) pneumonia has increased since the late 1990s, with skin and soft tissue infections predominant among neonates. Herein, we present a rare case of CA-MRSA necrotizing pneumonia with empyema following respiratory syncytial virus (RSV) infection in a healthy neonate. Despite prompt vancomycin treatment, the disease worsened and finally we had to perform pneumonectomy. This case highlights the possibility of emerging CA-MRSA-related invasive disease among neonates.
自 20 世纪 90 年代末以来，社区获得性耐甲氧西林金黄色葡萄球菌（CA-MRSA）肺炎的病例有所增加，新生儿以皮肤和软组织感染为主。在此，我们报告了一例罕见的健康新生儿在呼吸道合胞病毒（RSV）感染后继发 CA-MRSA 坏死性肺炎并脓胸的病例。尽管及时使用万古霉素治疗，但病情仍恶化，最终我们不得不进行肺切除术。该病例提示了新生儿中出现与 CA-MRSA 相关的侵袭性疾病的可能性。
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