From the Pediatric Critical Care Unit, Advanced Pediatrics Centre.
Department of Medical Microbiology.
Pediatr Infect Dis J. 2018 Oct;37(10):1067-1070. doi: 10.1097/INF.0000000000001948.
We report 3 previously healthy children of postneonatal age who developed fatal form of gastrointestinal mucormycosis after systemic inflammatory response syndrome, shock and metabolic acidosis. Abdominal distension and peritonitis were secondary complications. The study highlights the importance of clinical suspicion of gastrointestinal mucormycosis when the triad of shock requiring vasoactive drugs, metabolic acidosis and abdominal distension is present.
我们报告了 3 例先前健康的晚发性儿童,他们在全身炎症反应综合征、休克和代谢性酸中毒后发展为致命性胃肠道毛霉菌病。腹胀和腹膜炎是继发并发症。本研究强调了当存在需要血管活性药物的休克、代谢性酸中毒和腹胀三联征时,临床怀疑胃肠道毛霉菌病的重要性。