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[严重急性肢体缺血导致肌肉注射青霉素后发生尼科劳综合征患者行挽救性关节离断术:1例报告]

[Severe acute limb ischemia resulting in rescue disarticulation in a patient with Nicolau syndrome following intramuscular penicillin injection: a case report].

作者信息

Tougouma Somnoma Jean-Baptiste, Soulama Massiadami, Konate Issouf, Tapsoba Emmanuel, Yameogo Nobila Valentin, Dakoure Patrick

机构信息

Service de Cardiologie, Centre Hospitalier Universitaire Sourou Sanou, Bobo-Dioulasso, Burkina Faso.

Institut Supérieur des Sciences de la Santé, Université Nazi Boni, Bobo-Dioulasso, Burkina Faso.

出版信息

Pan Afr Med J. 2020 Dec 24;37:378. doi: 10.11604/pamj.2020.37.378.21384. eCollection 2020.

DOI:10.11604/pamj.2020.37.378.21384
PMID:33796191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7992423/
Abstract

We here report the case of a 9-year-old child suffering from Nicolau syndrome involving the left pelvic limb with severe acute limb ischemia following intramuscular benzathine penicillin injection into the buttock. Given the rarity of acute limb ischemia in children, this case of complicated Nicolau syndrome combining acute arterial thrombosis and severe rhabdomyolysis leading to rescue hip dislocation is very interesting.

摘要

我们在此报告一例9岁儿童的病例,该儿童因在臀部肌肉注射苄星青霉素后出现累及左下肢的尼科劳综合征,并伴有严重的急性肢体缺血。鉴于儿童急性肢体缺血较为罕见,这例合并急性动脉血栓形成和严重横纹肌溶解并导致挽救性髋关节脱位的复杂尼科劳综合征病例非常有趣。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09b7/7992423/9a240cf7b1cc/PAMJ-37-378-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09b7/7992423/038fcc2e9d6f/PAMJ-37-378-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09b7/7992423/97eda8f60fd2/PAMJ-37-378-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09b7/7992423/37082f6f578c/PAMJ-37-378-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09b7/7992423/9a240cf7b1cc/PAMJ-37-378-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09b7/7992423/038fcc2e9d6f/PAMJ-37-378-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09b7/7992423/97eda8f60fd2/PAMJ-37-378-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09b7/7992423/37082f6f578c/PAMJ-37-378-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09b7/7992423/9a240cf7b1cc/PAMJ-37-378-g004.jpg

相似文献

1
[Severe acute limb ischemia resulting in rescue disarticulation in a patient with Nicolau syndrome following intramuscular penicillin injection: a case report].[严重急性肢体缺血导致肌肉注射青霉素后发生尼科劳综合征患者行挽救性关节离断术:1例报告]
Pan Afr Med J. 2020 Dec 24;37:378. doi: 10.11604/pamj.2020.37.378.21384. eCollection 2020.
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Nicolau livedoid dermatitis following intramuscular benzathine penicillin injection.
Dermatol Online J. 2010 Dec 15;16(12):11.

本文引用的文献

1
[Nicolau livedoid dermatitis with severe neurological involvement in a child].[一名儿童患伴有严重神经受累的尼科劳紫癜性皮炎]
Ann Dermatol Venereol. 2017 Jun-Jul;144(6-7):426-429. doi: 10.1016/j.annder.2017.03.007. Epub 2017 Apr 12.
2
Anticoagulant and vasodilator therapy for Nicolau syndrome following intramuscular benzathine penicillin injection in a 4 year old boy.一名4岁男孩肌内注射苄星青霉素后发生尼科拉乌综合征的抗凝和血管舒张剂治疗
Arch Argent Pediatr. 2016 Jun 1;114(3):e184-6. doi: 10.5546/aap.2016.eng.e184.
3
Approaches to Improving Adherence to Secondary Prophylaxis for Rheumatic Fever and Rheumatic Heart Disease: A Literature Review with a Global Perspective.
改善风湿热和风湿性心脏病二级预防依从性的方法:一项全球视角的文献综述
Cardiol Rev. 2016 Mar-Apr;24(2):94-8. doi: 10.1097/CRD.0000000000000065.
4
Nicolau syndrome following intramuscular benzathine penicillin.肌内注射苄星青霉素后发生的尼科劳综合征。
J Postgrad Med. 2008 Oct-Dec;54(4):332-4. doi: 10.4103/0022-3859.43523.
5
Nicolau Syndrome: three cases and review.尼科劳综合征:三例报告及文献复习
Int J Dermatol. 2006 Nov;45(11):1326-8. doi: 10.1111/j.1365-4632.2006.02674.x.