Taylor Gregory M, Erlich Andrew H
Emergency Medicine Physician, Beaumont Hospital, Teaching Hospital of Michigan State University, Department of Emergency Medicine, Farmington Hills, MI, USA.
Oxf Med Case Reports. 2019 Jan 24;2019(1):omy116. doi: 10.1093/omcr/omy116. eCollection 2019 Jan.
An anorectal abscess, specifically a perianal abscess, is a relatively uncommon infection in children. It is a purulent fluid collection under the soft tissue outside the anus. Some of these abscesses may spontaneously drain and heal by themselves, while others may result in sepsis and require surgical intervention. The transition to a systemic illness requiring hospital admission is considered rare. We present the case of a 2-year-old male presenting with a febrile seizure and found to be systemically ill secondary to a perianal abscess. To our knowledge, this is the first case reported in the literature of a febrile seizure secondary to a perianal abscess.
肛门直肠脓肿,特别是肛周脓肿,在儿童中是一种相对不常见的感染。它是肛门外软组织下的脓性液体积聚。其中一些脓肿可能会自行破溃并自愈,而另一些可能会导致败血症,需要手术干预。转变为需要住院治疗的全身性疾病被认为是罕见的。我们报告一例2岁男性病例,该患儿因高热惊厥就诊,经检查发现是由肛周脓肿继发的全身性疾病。据我们所知,这是文献中报道的首例由肛周脓肿继发高热惊厥的病例。