儿童菌血症合并非创伤性纵隔脓肿：一例报告
bacteremia complicated with non-traumatic mediastinal abscess in children: A case report.
作者信息
Li Yiyuan, Zhu Yu, Wan Chaomin, Wen Yang
机构信息
Key Laboratory of Women and Children Diseases, Department of Pediatrics, West China Second University Hospital, Sichuan University, Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.
出版信息
Front Pediatr. 2023 Feb 28;11:1115788. doi: 10.3389/fped.2023.1115788. eCollection 2023.
BACKGROUND
bacteremia complicated with non-traumatic mediastinal abscess rarely occurs in children. Herein, we report a case of S. aureus bacteremia in a previously healthy 15-month-old boy, which was complicated with a non-traumatic mediastinal abscess, followed by recovery without surgery.
CASE PRESENTATION
A previously healthy 15-month-old boy presented to the hospital with a high fever, accompanied by chills, lethargy, tachycardia, tachypnea, and slight cough. Contrast-enhanced computerized tomography revealed mediastinal abscess and blood culture analysis showed the presence of which was methicillin-susceptible. With prompt initiation of antibiotic treatment, with appropriate duration, the patient successfully recovered without surgical drainage upon discharge.
CONCLUSIONS
bacteremia complicated with non-traumatic mediastinal abscess is rare in children, and early recognition and appropriate management are essential for a successful outcome.
背景
菌血症合并非创伤性纵隔脓肿在儿童中很少见。在此，我们报告一例15个月大的健康男孩发生金黄色葡萄球菌菌血症，该菌血症合并非创伤性纵隔脓肿，随后未经手术而康复。
病例介绍
一名此前健康的15个月大男孩因高热入院，伴有寒战、嗜睡、心动过速、呼吸急促和轻微咳嗽。增强计算机断层扫描显示纵隔脓肿，血培养分析显示存在对甲氧西林敏感的[此处原文缺失具体细菌名称]。通过及时开始适当疗程的抗生素治疗，患者出院时未经手术引流即成功康复。
结论
菌血症合并非创伤性纵隔脓肿在儿童中罕见，早期识别和适当处理对于取得成功结果至关重要。
Zotero 插件