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儿童侵袭性感染:来自意大利一家儿科传染病科的两例病例

Invasive Infections in Children: Two Cases from a Pediatric Infectious Diseases Unit in Italy.

作者信息

Veronese Piero, Cella Simone, Giacometti Alessandra, Lapetina Irene, Maffini Valentina, Pappalardo Marco, Rubini Monica, Ruozi Maria Beatrice, Dodi Icilio

机构信息

Pediatric Infectious Disease Unit, Children's Hospital of Parma, 43126 Parma, Italy.

Pediatric Radiology Unit, Institute of Radiology, University of Parma, 43126 Parma, Italy.

出版信息

Pathogens. 2024 Dec 12;13(12):1099. doi: 10.3390/pathogens13121099.

Abstract

In recent years, an increasing number of reports have described invasive infections caused by bacteria from (SAGs). seems to be more related with pleuropulmonary infections and abscess of the brain and deep soft tissues, and it is more likely to cause suppurative and non-bacteremic infections compared to other members of the same genus. We present two clinical cases of invasive infections in pediatric patients: a liver abscess case and a pansinusitis case associated with bilateral otomastoiditis and parapharyngeal abscess complicated by acute mediastinitis, thrombophlebitis of the cavernous sinus, and thrombosis of the cranial tract of the ipsilateral jugular vein. In both cases, prompt broad-spectrum antibiotic therapy and operative drainage of the collections resulted in a good clinical response with full recovery.

摘要

近年来,越来越多的报告描述了来自(未明确细菌种类,推测原文为某类细菌简称SAGs)的细菌引起的侵袭性感染。(该细菌)似乎与胸膜肺部感染以及脑和深部软组织脓肿关系更为密切,与同一属的其他成员相比,它更有可能引起化脓性和非菌血症性感染。我们报告两例儿科患者侵袭性(该细菌)感染的临床病例:一例肝脓肿病例和一例全鼻窦炎病例,后者伴有双侧耳乳突炎和咽旁脓肿,并并发急性纵隔炎、海绵窦血栓性静脉炎以及同侧颈静脉颅段血栓形成。在这两例病例中,及时的广谱抗生素治疗和对病灶的手术引流均产生了良好的临床反应,患者完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48d8/11728730/e9329fff7b52/pathogens-13-01099-g001.jpg

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