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一名早产新生儿右侧Bochdalek疝合并B族链球菌败血症

Right-Sided Bochdalek Hernia Associated with Group B Streptococcal Sepsis in a Preterm Neonate.

作者信息

Alamir Abdulrahman A B, AlShammari Alanoud M

机构信息

Department of Pediatrics, College of Medicine, Majmaah University, Majmaah, Saudi Arabia.

College of Medicine, Majmaah University, Majmaah, Saudi Arabia.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2228-S2231. doi: 10.4103/jpbs.jpbs_159_24. Epub 2024 May 13.

Abstract

We report here a compelling case of a premature female newborn who was originally treated for breathing difficulties that arose a few hours after delivery. The initial chest radiograph showed no abnormalities, and the blood culture detected sepsis caused by group B streptococcus (GBS). The antibiotic treatment was modified accordingly. Later on, she experienced a gradually increasing opacification in the right side of her chest, which did not respond to medical treatment. A subsequent imaging examination conducted a few days later indicated the presence of a hernia in the right side of the diaphragm. The neonate, who was 14 days old, received surgical intervention to fix the abnormality in the diaphragm. The procedure was successful, and there were no complications during the postpartum period. This case report aims to emphasize the distinctive correlation between early-onset GBS sepsis and the postponed occurrence of right-side diaphragmatic hernia.

摘要

我们在此报告一例令人关注的早产女婴病例,该女婴出生后数小时出现呼吸困难,最初接受了相应治疗。初始胸部X光片未显示异常,血培养检测出B组链球菌(GBS)引起的败血症,抗生素治疗因此进行了调整。后来,她右侧胸部的混浊逐渐加重,药物治疗无效。几天后进行的后续影像学检查显示右侧膈肌存在疝气。这名14天大的新生儿接受了手术干预以修复膈肌异常。手术成功,产后期间无并发症。本病例报告旨在强调早发性GBS败血症与右侧膈肌疝气延迟发生之间的独特关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48ce/11426643/81d78335e5bb/JPBS-16-2228-g001.jpg

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