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新生儿发生罕见的铜绿假单胞菌菌血症,合并小肠有 58 处穿孔。

A rare case of Pseudomonas aeruginosa bacteremia in a newborn with 58 perforations in the small intestine.

机构信息

Department of Pediatric Intensive Care Unit, Anhui Provincial Children's Hospital, Hefei, China.

Department of Neurosurgery, Anhui Provincial Children's Hospital, Hefei, China.

出版信息

BMC Pediatr. 2021 Jan 5;21(1):9. doi: 10.1186/s12887-020-02466-2.

Abstract

BACKGROUND

Community-acquired infections of Pseudomonas aeruginosa (P. aeruginosa) occur very rarely.

CASE PRESENTATION

P. aeruginos was detected in cultures of venous blood and peritoneal exudate of a newborn with 58 perforations in the small intestine. Intravenous administration of imipenem cilastratin sodium and emergency abdominal surgery were performed. The patient fully recovered and was discharged 17 days after the operation.

CONCLUSIONS

Mild symptoms of systemic infections in newborns may delay the diagnosis. Early detection and timely treatment are the key to improved prognosis.

摘要

背景

铜绿假单胞菌(P. aeruginosa)的社区获得性感染非常罕见。

病例介绍

一名患有 58 处小肠穿孔的新生儿的静脉血和腹腔渗出液培养中检测到铜绿假单胞菌。给予亚胺培南西司他丁钠静脉滴注和急诊剖腹手术。患者完全康复,术后 17 天出院。

结论

新生儿全身感染症状轻微可能会延迟诊断。早期发现和及时治疗是改善预后的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9d2/7784015/0ad231a2b8e5/12887_2020_2466_Fig1_HTML.jpg

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