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一名新生儿患严重坏死性肺炎并伴有脓胸。

Severe necrotizing pneumonia complicated by empyema in a neonate.

作者信息

Zapata Henry, Wahba Andrew

机构信息

Department of Pediatrics, McGovern Medical School at the University of Texas Health Science Center, Houston, TX, USA.

出版信息

Respir Med Case Rep. 2020 Oct 12;31:101248. doi: 10.1016/j.rmcr.2020.101248. eCollection 2020.

DOI:10.1016/j.rmcr.2020.101248
PMID:33101896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7569210/
Abstract

Necrotizing pneumonia is a severe complication of pneumonia, characterized by local destruction of lung tissue with development of multiple small cavities (abscesses) and may be associated with empyema. Empyema is an unusual complication in neonates with limited data reported. We present a healthy term neonate with late-onset sepsis caused by Methicillin-resistant (MRSA) bacteremia due to severe necrotizing pneumonia associated with advanced stage empyema. To the best of our knowledge this is the youngest reported patient with multifocal lung abscesses associated with stage 2 empyema treated successfully without surgical intervention.

摘要

坏死性肺炎是肺炎的一种严重并发症,其特征是肺组织局部破坏并形成多个小空洞(脓肿),且可能与脓胸相关。脓胸在新生儿中是一种罕见的并发症,相关报道的数据有限。我们报告了一例足月儿,因耐甲氧西林(MRSA)菌血症导致晚发性败血症,其病因是严重坏死性肺炎合并晚期脓胸。据我们所知,这是报道中最年轻的患有多灶性肺脓肿并伴有2期脓胸且未经手术干预而成功治愈的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799c/7569210/b0b34f2932ee/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799c/7569210/ce12f215e661/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799c/7569210/b0b34f2932ee/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799c/7569210/ce12f215e661/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799c/7569210/b0b34f2932ee/gr2.jpg

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Paediatr Respir Rev. 2019 Apr;30:42-48. doi: 10.1016/j.prrv.2018.09.001. Epub 2018 Sep 12.
2
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J Hosp Med. 2018 Dec 1;13(12):848-852. doi: 10.12788/jhm.3093. Epub 2018 Oct 31.
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Methicillin-Resistant Staphylococcus aureus: Molecular Characterization, Evolution, and Epidemiology.
耐甲氧西林金黄色葡萄球菌:分子特征、进化与流行病学。
Clin Microbiol Rev. 2018 Sep 12;31(4). doi: 10.1128/CMR.00020-18. Print 2018 Oct.
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Necrotizing pneumonia: an emerging problem in children?坏死性肺炎:儿童中一个新出现的问题?
Pneumonia (Nathan). 2017 Jul 25;9:11. doi: 10.1186/s41479-017-0035-0. eCollection 2017.
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