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[儿童脑膜炎球菌性心包炎。支持免疫过敏过程的一例]

[Postmeningococcal pericarditis in children. A case favoring an immunoallergic process].

作者信息

de Parscau L, Excler J L, Gauthier J, Bozio A, David L

出版信息

Pediatrie. 1985 Sep;40(6):481-5.

PMID:3835539
Abstract

A case of pericarditis following meningococcal meningitis in a 19 month old boy is presented. First clinical signs were noted after 5 days of antibiotherapy (Cefotaxime); at that time the meningitis was cured and the bacteriologic studies yielded negative results. Complete clinical recovery was obtained within 24 hours of treatment with prednisone (2 mg/kg), antibiotherapy being stopped 4 days earlier. The pathogenesis of post meningococcal pericarditis is discussed based on the data from the literature. This observation adds support to an immuno-allergic origin of this pericarditis.

摘要

本文报告了一例19个月大男孩在患脑膜炎球菌性脑膜炎后发生心包炎的病例。在进行抗生素治疗(头孢噻肟)5天后出现了最初的临床症状;此时脑膜炎已治愈,细菌学研究结果为阴性。在使用泼尼松(2毫克/千克)治疗24小时内实现了完全临床康复,抗生素治疗在4天前已停止。基于文献数据对脑膜炎球菌性心包炎的发病机制进行了讨论。该观察结果支持了这种心包炎的免疫过敏起源。

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