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幼儿暴发性脓毒症休克:无咬伤、抓伤或舔伤!

Fulminant Septic Shock with in a Young Infant: No Bite, Scratch, or Lick!

机构信息

Division of Pediatric Critical Care Medicine, Department of Pediatrics, Children's Hospital of Nevada at University Medical Center, Las Vegas, Nevada, USA.

Department of Pediatrics, University of Nevada at Las Vegas School of Medicine, Las Vegas, Nevada, USA.

出版信息

Vector Borne Zoonotic Dis. 2021 Jan;21(1):59-62. doi: 10.1089/vbz.2020.2643. Epub 2020 Jun 22.

Abstract

This is a case of septic shock encountered in a 7-week-old infant without any bites, scratch marks, or history of licks by pet animals (dog and cats in household). The infant required 3 days of vasopressor support and 4 days of mechanical ventilation to achieve normal hemodynamics. This is an unidentified route of transmission and our literature search for this topic discovered reported cases of life-threatening presentation with infections in the absence of a bite or any form of invasive contact with animals. We believe that this is an important public safety message to restrict animal contact of young infants to prevent severe infection.

摘要

这是一例发生在 7 周大婴儿身上的感染性休克病例,该婴儿没有被宠物(家庭中的狗和猫)咬伤、抓伤或舔舐。婴儿需要接受 3 天的升压治疗和 4 天的机械通气来恢复正常的血液动力学。这是一种不明原因的传播途径,我们对这一主题的文献检索发现了一些报告病例,这些病例在没有咬伤或任何形式的动物入侵接触的情况下,表现出危及生命的感染。我们认为这是一个重要的公共安全信息,限制幼儿与动物接触,以预防严重感染。

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