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婴儿期罕见且致命的耐甲氧西林金黄色葡萄球菌(MRSA)腹膜炎病例报告

A Case Report of Rare and Lethal Methicillin-Resistant Staphylococcus aureus (MRSA) Peritonitis in Infancy.

作者信息

Kumar Shishir, Kumar Ratan, Saha Kaushik, Chauhan Shivraj, Diwakar Kumar

机构信息

Department of General Surgery, Tata Main Hospital, Jamshedpur, IND.

Pediatric Intensive Care Unit, Tata Main Hospital, Jamshedpur, IND.

出版信息

Cureus. 2023 Jul 3;15(7):e41303. doi: 10.7759/cureus.41303. eCollection 2023 Jul.

Abstract

Peritoneal inflammation without a discernible intraperitoneal source is referred to as primary peritonitis. Only 2% of pediatric acute abdominal crises are diagnosed preoperatively. Association with other infections is uncommon and is often limited to hepatic and urinary pathogens. Here, we describe a case of primary peritonitis in a one-month-old child who had laparotomy and appendicectomy as per the recommended treatment plan. There were no accompanying hepatic and urinary diseases. In this instance, methicillin-resistant Staphylococcus aureus (MRSA) was the responsible bacteria. The use of linezolid, as per the culture sensitivity report of intraperitoneal pus, ensured a smooth recovery in this case.

摘要

无明显腹腔内感染源的腹膜炎被称为原发性腹膜炎。小儿急性腹痛危象术前仅2%能得到诊断。与其他感染相关的情况并不常见,且通常仅限于肝脏和泌尿系统病原体。在此,我们描述一例1个月大儿童的原发性腹膜炎病例,该患儿按照推荐的治疗方案接受了剖腹术和阑尾切除术。无伴随的肝脏和泌尿系统疾病。在本例中,耐甲氧西林金黄色葡萄球菌(MRSA)为致病菌。根据腹腔脓液的培养药敏报告使用利奈唑胺,确保了该病例的顺利康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b314/10394718/d7799c3d85ef/cureus-0015-00000041303-i01.jpg

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