MacGillivray Megan E, Fiorillo Loretta
Pediatr Emerg Care. 2017 Dec;33(12):e175-e176. doi: 10.1097/PEC.0000000000001105.
An infant with a history of atopic dermatitis presented to the emergency department on 5 occasions with flulike symptoms. Eventually, this child presented with signs of infection and increased intracranial pressure: fever, bulging anterior fontanel, and leukocytosis. A computed tomography scan identified a large frontal lobe brain abscess. The abscess was surgically drained; culture was positive for Staphylococcus aureus. The initial source of the infected brain abscess was explored. Ultimately, it was thought to be secondary to impetiginized atopic dermatitis, an unusual but serious consequence of a common skin condition.
一名有特应性皮炎病史的婴儿5次因流感样症状前往急诊科就诊。最终,该患儿出现感染迹象和颅内压升高:发热、前囟饱满和白细胞增多。计算机断层扫描发现一个巨大的额叶脑脓肿。脓肿通过手术引流;培养结果显示金黄色葡萄球菌阳性。对感染性脑脓肿的初始来源进行了探查。最终认为这是由脓疱化的特应性皮炎继发而来,这是一种常见皮肤疾病的不寻常但严重的后果。