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血泪:一例新生儿假膜性结膜炎。

Haemolacria: a case of pseudomembranous conjunctivitis in a neonate.

机构信息

Department of Adolescent and Child Health, Mater Dei Hospital, Msida, Malta

Department of Adolescent and Child Health, Mater Dei Hospital, Msida, Malta.

出版信息

BMJ Case Rep. 2020 Jun 30;13(6):e235110. doi: 10.1136/bcr-2020-235110.

Abstract

We report an unusual case of an 11-day-old neonate presenting with haemolacria on a background of sticky conjunctival discharge. This was secondary to pseudomembranous conjunctivitis which responded well to systemic erythromycin. Early appropriate treatment is important to prevent progression of the ophthalmic infection, which could lead to blindness, and to prevent other manifestations of neonatal chlamydial infection, particularly pneumonia, which could be fatal. Management also includes treating the mother and educating about sexually transmitted infections.

摘要

我们报告了一例罕见病例,一名 11 天大的新生儿出现血泪,并伴有粘性结膜分泌物。这是假膜性结膜炎的继发症状,对全身用红霉素治疗反应良好。早期的适当治疗对于防止眼部感染的进展非常重要,因为这可能导致失明,并防止新生儿衣原体感染的其他表现,特别是肺炎,这可能是致命的。治疗还包括治疗母亲和性传播感染的教育。

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本文引用的文献

1
A healthy infant with bloody tears: Case report and mini-review of the literature.一名伴有血泪的健康婴儿:病例报告及文献综述
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Ophthalmia neonatorum treatment and prophylaxis: IPOSC global study.新生儿眼炎的治疗与预防:IPOSC全球研究
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Neonatal conjunctivitis - a review.新生儿结膜炎——综述
Malays Fam Physician. 2008 Aug 31;3(2):77-81. eCollection 2008.
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Hemolacria: case report.血泪症:病例报告。
Int J Pediatr Otorhinolaryngol. 2013 Jan;77(1):137-8. doi: 10.1016/j.ijporl.2012.09.020. Epub 2012 Oct 4.
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