Colombino G, Malfitana A
Ospedale degli Infermi, Divisione Pediatrica, U.S.S.L. n. 47, Biella, Vercelli.
Minerva Med. 1987 Nov 15;78(21):1575-6.
The case described presented notable problems of diagnosis and treatment. The rapid onset of a massive tumoral syndrome in an infant with bronchiolitis dramatically worsened the clinical picture and led to the infant's death, posing the problem of the forms of congenital immune deficiency that may be associated with various aplastic and dysplastic haemopoietic alterations. The possibilities of treating such early hyperacute cases are limited given the lack of knowledge about the effects of drugs in such young children and the rapid deterioration of the patient's condition.
所描述的病例存在显著的诊断和治疗问题。一名患有细支气管炎的婴儿迅速出现大量肿瘤综合征,这极大地恶化了临床症状并导致婴儿死亡,引发了可能与各种再生障碍性和发育异常性造血改变相关的先天性免疫缺陷形式的问题。鉴于对这类幼儿用药效果缺乏了解以及患者病情迅速恶化,治疗此类早期超急性病例的可能性有限。