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一例患有脐膨出的新生儿因[未提及具体病因]导致的致命性败血症的诊断与处理

Diagnosis and management of a fatal case of sepsis caused by in a neonate with omphalocele.

作者信息

Santana Simone, Salci Tania, Andriato Patricia, Bonfim-Mendonça Patricia, Caparroz-Assef Silvana, Negri Melyssa, Svidzinski Terezinha

机构信息

Medical Mycology Division, State University of Maringá, Av. Colombo, 5790, CEP 87020-900 Maringá, Paraná, Brazil.

Department of Pharmacology, State University of Maringá, Av. Colombo, 5790, CEP 87020-900 Maringá, Paraná, Brazil.

出版信息

Med Mycol Case Rep. 2018 Jan 10;20:10-14. doi: 10.1016/j.mmcr.2018.01.002. eCollection 2018 Jun.

Abstract

We present a fatal case of persistent neonatal candidemia by following omphalocele, without other anomalies. Despite an encouraging initial prognosis, after surgical correction and closure of the abdominal wall the case became difficult to treat, as in addition to the exposure of the patient to multiple risk factors for candidemia, antifungal therapy apparently was not adequate.

摘要

我们报告一例脐膨出后发生持续性新生儿念珠菌血症的致死病例,无其他异常。尽管初始预后令人鼓舞,但在腹壁手术矫正和闭合后,该病例变得难以治疗,因为除了患者暴露于念珠菌血症的多种危险因素外,抗真菌治疗显然并不充分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5ee/5768148/98e70296b3bc/gr1.jpg

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