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[新生儿细菌性败血症的罕见鉴别诊断:新生儿病毒性心肌炎]

[Rare Differential Diagnosis of a Neonatal Bacterial Sepsis: The Neonatal Viral Myocarditis].

作者信息

Schröder Dominic, Siauw Celine, Wirbelauer Johannes

机构信息

Kinderklinik und Poliklinik, Universitätsklinikum Würzburg.

出版信息

Z Geburtshilfe Neonatol. 2018 Apr;222(2):82-85. doi: 10.1055/s-0043-121222. Epub 2018 Apr 10.

Abstract

The neonatal bacterial infection is a potentially life-threatening condition that justifies intravenous antibiotic therapy. However, clinical symptoms are often unspecific. Particularly in the absence of a response to antibiotic therapy, various differential diagnoses can be considered. We report the clinical presentation, the diagnostic steps, the therapy as well as the long-term progression of a preterm infant who acquired a perinatal enterovirus infection including viral myocarditis. The case underlines the clinical relevance of enterovirus infections in newborns. The current literature, however, describes only single aspects and lacks, in particular, accurate data on both epidemiology and morbidity.

摘要

新生儿细菌感染是一种可能危及生命的疾病,这使得静脉抗生素治疗成为必要。然而,临床症状往往不具有特异性。特别是在对抗生素治疗无反应的情况下,可以考虑各种鉴别诊断。我们报告了一名早产婴儿围产期感染肠道病毒(包括病毒性心肌炎)的临床表现、诊断步骤、治疗方法以及长期病情发展。该病例凸显了新生儿肠道病毒感染的临床相关性。然而,目前的文献仅描述了单一的方面,尤其缺乏关于流行病学和发病率的准确数据。

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