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急性出血性心包炎:肺炎感染的一种不常见表现。

Acute haemorrhagic pericarditis: an unusual presentation of pneumonia infection.

机构信息

Departments of Paediatrics, Dr Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital , Ankara, Turkey.

Departments of Paediatric Haematology and Oncology, Dr Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital , Ankara, Turkey.

出版信息

Paediatr Int Child Health. 2020 Aug;40(3):207-210. doi: 10.1080/20469047.2020.1728163. Epub 2020 Feb 13.

DOI:10.1080/20469047.2020.1728163
PMID:32052706
Abstract

, a common cause of respiratory tract infections, rarely leads to serious conditions. A 13-year-old boy with serologically confirmed infection presented with pneumonia complicated by pericardial and bilateral pleural effusions. He had a large haemorrhagic pericardial effusion from which 1000 ml of fluid was aspirated over 10 days and a right haemorrhagic pleural effusion which required a chest drain and the removal of 700 ml over 5 days. The addition of clarithromycin to ceftriaxone appeared to enhance recovery. As far as we are aware, this is the first report in the English literature of massive haemorrhagic pericardial and pleural effusions in children owing to infection.

摘要

, 一种常见的呼吸道感染病原体,很少导致严重情况。一名 13 岁男孩经血清学确认感染 ,出现肺炎合并心包和双侧胸腔积液。他有大量血性心包积液,在 10 天内抽吸了 1000 毫升液体,还有右侧血性胸腔积液,需要放置胸腔引流管并在 5 天内排出 700 毫升液体。加用克拉霉素似乎增强了头孢曲松的疗效。据我们所知,这是英文文献中首例因 感染导致儿童发生大量血性心包和胸腔积液的报告。

相似文献

1
Acute haemorrhagic pericarditis: an unusual presentation of pneumonia infection.急性出血性心包炎:肺炎感染的一种不常见表现。
Paediatr Int Child Health. 2020 Aug;40(3):207-210. doi: 10.1080/20469047.2020.1728163. Epub 2020 Feb 13.
2
Chlamydia pneumoniae-associated pleuropericarditis: a case report and systematic review of the literature.肺炎衣原体相关性胸膜炎性心包炎:病例报告及文献系统回顾。
BMC Pulm Med. 2021 Nov 22;21(1):380. doi: 10.1186/s12890-021-01743-9.
3
Acute hemorrhagic pericarditis in a child with pneumonia due to Chlamydophila pneumoniae.一名因肺炎衣原体肺炎而患急性出血性心包炎的儿童
J Clin Microbiol. 2005 Jan;43(1):520-2. doi: 10.1128/JCM.43.1.520-522.2005.
4
Acute encephalitis associated to a respiratory infection due to Chlamydophila pneumoniae.肺炎衣原体引起的呼吸道感染相关急性脑炎。
Med Mal Infect. 2013 Aug;43(8):345-9. doi: 10.1016/j.medmal.2013.06.015. Epub 2013 Jul 23.
5
Chlamydophila pneumoniae myopericarditis in a child.一名儿童患肺炎衣原体性心肌心包炎。
Pediatr Cardiol. 2009 Apr;30(3):336-9. doi: 10.1007/s00246-008-9301-5. Epub 2008 Oct 25.
6
Frequency of detection of Chlamydophila pneumoniae using bronchoalveolar lavage fluid in patients with community-onset pneumonia.社区获得性肺炎患者中使用支气管肺泡灌洗 fluid检测肺炎衣原体的频率。 注:原文中“bronchoalveolar lavage fluid”可能有误,推测应该是“bronchoalveolar lavage fluid”,翻译为“支气管肺泡灌洗 液” 。如果是这样,准确译文为:社区获得性肺炎患者中使用支气管肺泡灌洗液检测肺炎衣原体的频率。
Respir Investig. 2017 Nov;55(6):357-364. doi: 10.1016/j.resinv.2017.08.003. Epub 2017 Sep 22.
7
Therapeutic effect of clarithromycin for respiratory-tract infections in children caused by Chlamydia pneumoniae. Research Group of Sapporo for Pediatric Chlamydial Infections.克拉霉素对肺炎衣原体所致儿童呼吸道感染的治疗效果。札幌小儿衣原体感染研究组。
Int J Antimicrob Agents. 2000 Jan;13(3):219-22. doi: 10.1016/s0924-8579(99)00116-8.
8
[Acute pericarditis as an organic manifestation of the acute infection Chlamydia pneumoniae].[急性心包炎作为肺炎衣原体急性感染的一种器质性表现]
Vnitr Lek. 2008 Sep;54(9):866-70.
9
Serological study on Chlamydophila pneumoniae in patients with community-acquired pneumonia.社区获得性肺炎患者肺炎衣原体的血清学研究。
New Microbiol. 2004 Oct;27(4):335-43.
10
[Purulent pericarditis, an unusual complication of pneumococcal pneumonia: a case report].[化脓性心包炎,肺炎球菌肺炎的一种罕见并发症:一例报告]
Ann Biol Clin (Paris). 2018 Jan 1;76(1):111-113. doi: 10.1684/abc.2017.1317.

引用本文的文献

1
Chlamydia pneumoniae-associated pleuropericarditis: a case report and systematic review of the literature.肺炎衣原体相关性胸膜炎性心包炎:病例报告及文献系统回顾。
BMC Pulm Med. 2021 Nov 22;21(1):380. doi: 10.1186/s12890-021-01743-9.