Van Dyke D C, Alexander R C, Perlman S, Smith W J, Dekowski S A
Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City 52242.
Clin Pediatr (Phila). 1989 Sep;28(9):423-5. doi: 10.1177/000992288902800910.
Cases of fusiform bacteria sepsis have been reported infrequently in the pediatric literature. This case demonstrates the severe metastatic complications of fusiform bacterial sepsis including osteomyelitis, with multiple pathological fractures, sepsis, and abscesses of the liver. In the diagnostic evaluation of the etiology for this uncommon infection, child abuse was discovered in all children of this family. In children with uncommon infections and no underlying etiology, child abuse should be considered.
小儿文献中梭状菌败血症病例报道较少。本病例显示了梭状菌败血症严重的转移性并发症，包括骨髓炎、多发性病理性骨折、败血症及肝脓肿。在对这种罕见感染病因的诊断评估中，发现该家庭所有儿童均遭受虐待。对于患有罕见感染且无潜在病因的儿童，应考虑虐待儿童的可能。
