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一名6个月大婴儿颈部肿块的评估:病例报告

Evaluation of a Neck Mass in a Six-Month-Old Infant: A Case Report.

作者信息

Bruce Renee, Katyayani Mounika, Pereira Nicholas

机构信息

Clinical Sciences, Saint James School of Medicine, Kingstown, VCT.

Pediatrics, Community Medical Center, Srikakulam, IND.

出版信息

Cureus. 2023 Aug 28;15(8):e44233. doi: 10.7759/cureus.44233. eCollection 2023 Aug.

DOI:10.7759/cureus.44233
PMID:37772247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10527668/
Abstract

Pediatric neck masses are one of the commonly encountered problems in clinical practice. They comprise a wide spectrum of congenital to acquired lesions manifesting in early or late childhood. They often pose a diagnostic challenge to the physician. We hereby present a case report of a six-month-old boy with a left-sided neck mass. Findings of a detailed workup were consistent with acute bacterial cervical lymphadenitis, ruling out neoplasia. The child showed significant improvement after including extended coverage of antibiotic therapy for methicillin-resistant (MRSA) and was put under follow-up.

摘要

小儿颈部肿块是临床实践中常见的问题之一。它们包括从先天性到后天性的广泛病变,在儿童早期或晚期出现。它们常常给医生带来诊断挑战。我们在此报告一例六个月大左侧颈部有肿块的男童病例。详细检查结果与急性细菌性颈淋巴结炎相符,排除了肿瘤。该患儿在采用针对耐甲氧西林金黄色葡萄球菌(MRSA)的扩大覆盖范围的抗生素治疗后有显著改善,并进行了随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c7b/10527668/9b68f901297e/cureus-0015-00000044233-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c7b/10527668/4665a78174e6/cureus-0015-00000044233-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c7b/10527668/883acbb48c0a/cureus-0015-00000044233-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c7b/10527668/9aa030309179/cureus-0015-00000044233-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c7b/10527668/9b68f901297e/cureus-0015-00000044233-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c7b/10527668/4665a78174e6/cureus-0015-00000044233-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c7b/10527668/883acbb48c0a/cureus-0015-00000044233-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c7b/10527668/9aa030309179/cureus-0015-00000044233-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c7b/10527668/9b68f901297e/cureus-0015-00000044233-i04.jpg

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本文引用的文献

1
Pediatric Cervical Lymphadenopathy.小儿颈淋巴结病
Pediatr Rev. 2018 Sep;39(9):433-443. doi: 10.1542/pir.2017-0249.
2
Acute cervical lymphadenitis and infections of the retropharyngeal and parapharyngeal spaces in children.儿童急性颈淋巴结炎及咽后间隙和咽旁间隙感染
BMC Ear Nose Throat Disord. 2014 Sep 5;14:8. doi: 10.1186/1472-6815-14-8. eCollection 2014.
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Evaluation and management of neck masses in children.儿童颈部肿块的评估和处理。
Am Fam Physician. 2014 Mar 1;89(5):353-8.
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Pediatric neck masses.小儿颈部肿块
Pediatr Rev. 2013 Mar;34(3):115-24; quiz 125. doi: 10.1542/pir.34-3-115.
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A retrospective chart review of evaluation of the cervical lymphadenopathies in children.一项关于儿童颈部淋巴结病评估的回顾性病历审查。
Auris Nasus Larynx. 2011 Oct;38(5):618-21. doi: 10.1016/j.anl.2011.01.009. Epub 2011 Feb 21.
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Management of cervical lymphadenitis in children.
Am Fam Physician. 2008 Nov 1;78(9):1097-8.
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Management of common head and neck masses.常见头颈部肿块的管理
Semin Pediatr Surg. 2007 Feb;16(1):3-13. doi: 10.1053/j.sempedsurg.2006.10.002.
8
Malignant neoplasms of the head and neck.头颈部恶性肿瘤
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9
Epidemic of community-acquired methicillin-resistant Staphylococcus aureus infections: a 14-year study at Driscoll Children's Hospital.社区获得性耐甲氧西林金黄色葡萄球菌感染的流行情况:在德里斯科尔儿童医院进行的一项为期14年的研究。
Arch Pediatr Adolesc Med. 2005 Oct;159(10):980-5. doi: 10.1001/archpedi.159.10.980.
10
Impact of community-associated, methicillin-resistant Staphylococcus aureus on management of the skin and soft tissue infections in children.社区获得性耐甲氧西林金黄色葡萄球菌对儿童皮肤和软组织感染管理的影响。
Curr Infect Dis Rep. 2005 Sep;7(5):381-9. doi: 10.1007/s11908-005-0013-1.