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儿童肌肉骨骼系统脓毒症合并深静脉血栓形成

Musculoskeletal Sepsis Associated with Deep Vein Thrombosis in a Child.

作者信息

Lee Chih-Ying, Lee Yu-Sheng, Tsao Pei-Chen, Jeng Mei-Jy, Soong Wen-Jue

机构信息

Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan.

Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Pediatrics, Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan.

出版信息

Pediatr Neonatol. 2016 Jun;57(3):244-7. doi: 10.1016/j.pedneo.2013.09.004. Epub 2013 Nov 23.

DOI:10.1016/j.pedneo.2013.09.004
PMID:24279976
Abstract

Deep vein thrombosis (DVT) is a rare disease in pediatric patients. We report a pediatric patient who developed DVT in association with methicillin-resistant Staphylococcus aureus (MRSA) bacteremia complicated with septic arthritis, osteomyelitis, and myositis extensively. It is crucial to consider musculoskeletal infection associated with DVT in any child who presents with severe swollen limbs and limitations of motion. Prompt antibiotic and anticoagulant treatments should be initiated to reduce the risk of fatal complications.

摘要

深静脉血栓形成(DVT)在儿科患者中是一种罕见疾病。我们报告了一名儿科患者,该患者发生了与耐甲氧西林金黄色葡萄球菌(MRSA)菌血症相关的DVT,并广泛并发了化脓性关节炎、骨髓炎和肌炎。对于任何出现严重肢体肿胀和运动受限的儿童,考虑与DVT相关的肌肉骨骼感染至关重要。应立即开始抗生素和抗凝治疗,以降低致命并发症的风险。

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