一名患水痘的青春期女孩感染恙虫病并发感染
Scrub Typhus Co-infection in an Adolescent Girl with Varicella.
作者信息
Chandramohan Anandhi, Venkatesh Soma, Dhandapany Gunasekaran, Stephen Selvaraj
机构信息
Departments of Pediatrics and *Microbiology, Mahatma Gandhi Medical College and Research Institute, Pillaiyarkuppam, Puducherry, India. Correspondence: Dr V Soma, Assistant Professor, Department of Pediatrics, MGMCRI, Pillaiyarkuppam, Puducherry 607 402, India.
出版信息
Indian Pediatr. 2015 Oct;52(10):891-2. doi: 10.1007/s13312-015-0739-2.
BACKGROUND
Co-infections with scrub typhus have been described quite frequently in adults but less frequently in children.
CASE CHARACTERISTICS
An adolescent girl with varicella infection who had persistent fever. Associated clinical features like pain abdomen, vomiting, and features of third space losses made us suspect a co-infection. IgM and IgG antibodies by ELISA in acute and convalescent serum were suggestive of scrub typhus.
OUTCOME
She recovered following a course of oral doxycycline.
MESSAGE
In unexplained prolonged fever or atypical clinical manifestations not explainable by the primary disease process, co-infection needs to be considered.
背景
恙虫病合并感染在成人中较为常见，但在儿童中较少见。
病例特征
一名患有水痘感染的青少年女孩持续发热。腹痛、呕吐等相关临床特征以及第三间隙丢失的表现使我们怀疑存在合并感染。急性期和恢复期血清通过酶联免疫吸附测定法检测的IgM和IgG抗体提示恙虫病。
结果
她在接受口服强力霉素治疗后康复。
启示
在原发性疾病无法解释的不明原因长期发热或非典型临床表现中，需要考虑合并感染。
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