From the Department of General Pediatrics, Aichi Children's Health and Medical Center, Ohbu, Aichi, Japan.
Department of Intensive Care, Aichi Children's Health and Medical Center, Ohbu, Aichi, Japan.
Pediatr Infect Dis J. 2022 Oct 1;41(10):e442-e444. doi: 10.1097/INF.0000000000003651. Epub 2022 Jul 20.
We describe the detailed clinical course of rapidly enlarging infective aneurysms during the treatment of endocarditis and purulent pericarditis caused by Streptococcus pyogenes . We show that S. pyogenes aneurysms can enlarge rapidly within 1-2 days. Moreover, we highlight the benefit of transporting patients to a facility offering multidisciplinary treatment, even if vital signs stabilize to the point.
我们描述了链球菌引起的心内膜炎和化脓性心包炎治疗过程中感染性动脉瘤迅速增大的详细临床过程。我们表明,链球菌引起的动脉瘤在 1-2 天内可以迅速增大。此外,我们强调了即使生命体征稳定到一定程度,将患者转运到提供多学科治疗的机构的益处。