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小儿患者的坏死性脓胸:一例病例研究

Empyema necessitans in a pediatric patient: A case study.

作者信息

Shieba Yusuf, Ramadan Alaa

机构信息

Faculty of Medicine, South Valley University, Qena, Egypt; Cardiothoracic Surgery Department, Qena, Egypt.

Faculty of Medicine, South Valley University, Qena, Egypt.

出版信息

Int J Surg Case Rep. 2023 Nov;112:108932. doi: 10.1016/j.ijscr.2023.108932. Epub 2023 Oct 14.

Abstract

INTRODUCTION AND IMPORTANCE

Empyema necessitans is a rare and severe complication of pleural effusion characterized by the extension of purulent material from the pleural cavity into the surrounding soft tissues, resulting in the formation of a subcutaneous abscess.

CASE PRESENTATION

A one-year-old boy presented with symptoms that were in line with empyema necessitans, and Escherichia coli was shown to be the causative organism. A successful outcome required early detection, rapid diagnosis, and proper management, which included targeted antibiotic medication and drainage of the pleural collection. When a young patient exhibits a growing chest wall swelling, empyema necessitans should be considered in the differential diagnosis.

CLINICAL DISCUSSION

The best care for individuals with empyema necessitans requires a multidisciplinary approach comprising pediatricians, thoracic surgeons, infectious disease experts, and interventional radiologists. Escherichia coli infection requires a comprehensive approach involving antibiotic therapy and surgical intervention if necessary.

CONCLUSION

Empyema necessitans in pediatric patients, caused by Escherichia coli, is an infrequent disease that requires more investigation to enhance our understanding of the associated risk factors, optimal treatment modalities, and potential long-term consequences.

摘要

引言与重要性

脓胸穿破胸壁是一种罕见且严重的胸腔积液并发症,其特征为脓性物质从胸腔延伸至周围软组织,导致皮下脓肿形成。

病例介绍

一名一岁男童出现了符合脓胸穿破胸壁的症状,结果显示大肠杆菌为致病微生物。成功的治疗结果需要早期发现、快速诊断和恰当处理,其中包括针对性的抗生素治疗以及胸腔积液引流。当一名年轻患者出现不断增大的胸壁肿胀时,鉴别诊断中应考虑脓胸穿破胸壁。

临床讨论

对脓胸穿破胸壁患者的最佳治疗需要多学科方法,包括儿科医生、胸外科医生、传染病专家和介入放射科医生。大肠杆菌感染需要综合治疗方法,必要时包括抗生素治疗和手术干预。

结论

由大肠杆菌引起的儿科患者脓胸穿破胸壁是一种罕见疾病,需要更多研究以增进我们对相关危险因素、最佳治疗方式及潜在长期后果的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d375/10667752/ea648c8b3bbd/gr1.jpg

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