常见病菌的罕见临床表现：A 组脑膜炎
Uncommon clinical presentation of a common bug: Group A meningitis.
作者信息
Lee Jimin, Blackburn Julie, Pham-Huy Anne
机构信息
Department of Pediatrics, University of Ottawa, Ottawa, Ontario.
Division of Infectious Diseases, Immunology and Allergy, Department of Pediatrics, University of Ottawa, Ottawa, Ontario.
出版信息
Paediatr Child Health. 2020 May 28;26(3):e129-e131. doi: 10.1093/pch/pxaa065. eCollection 2021 Jun.
Abstract
Group A (GAS) is a common pathogen in paediatric infections. However, it is a rare etiologic agent of bacterial meningitis. We describe a case of meningitis complicated by sensorineural hearing loss in an immunocompetent 7-year-old boy. Clinicians should be aware of GAS as a potential cause of paediatric meningitis, especially with prominent symptoms suggestive of frontal sinusitis. Meningitis caused by GAS has been shown to be associated with significant mortality and morbidity, including neurological complications. Early screening for sensorineural hearing loss in patients with GAS meningitis can facilitate timely cochlear implant.
摘要
A组链球菌（GAS）是儿科感染中的常见病原体。然而，它是细菌性脑膜炎的罕见病因。我们描述了一例7岁免疫功能正常男孩患脑膜炎并伴有感音神经性听力损失的病例。临床医生应意识到GAS是小儿脑膜炎的潜在病因，尤其是出现提示额窦炎的明显症状时。已证明由GAS引起的脑膜炎与包括神经并发症在内的显著死亡率和发病率相关。对GAS脑膜炎患者进行感音神经性听力损失的早期筛查有助于及时进行人工耳蜗植入。
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