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新生儿沙门氏菌脑膜炎(作者译)

[Salmonella-meningitis in the newborn (author's transl)].

作者信息

Jentsch H J, Guggenbichler J P, Waltl H

出版信息

Monatsschr Kinderheilkd (1902). 1979 Jun;127(6):415-7.

PMID:460261
Abstract

Six children, out of twelve in a neonatal unit suffered from group D salmonellosis. Two patients presented in addition to intestinal manifestations massive extraintestinal symptoms, both with septicemia and meningitis. One patient died on the fourth day from massive disseminated intravascular coagulation and pyocephalus. The other patient had a complete recovery after an antibiotic therapy with chloramphenicol and ampicillin. As the source of infection the mother of case 1 was identified. In her stools salmonella group D were cultured. Cultures of the ward-personals, stool and the food were negative. It should be mentioned that only children fed with artificial food suffered from salmonellosis; whereas children on breastmilk had an unremarkable clinical course and consistantly negative stoolcultures.

摘要

在一个新生儿病房的12名儿童中,有6名患D组沙门氏菌病。两名患儿除肠道表现外,还出现大量肠外症状,均患有败血症和脑膜炎。一名患儿在第四天死于大面积弥散性血管内凝血和脑脓肿。另一名患儿在接受氯霉素和氨苄西林抗生素治疗后完全康复。作为感染源,确定为病例1的母亲。在她的粪便中培养出了D组沙门氏菌。病房人员的粪便和食物培养结果均为阴性。需要提及的是,只有人工喂养的儿童患沙门氏菌病;而母乳喂养的儿童临床过程无异常,粪便培养一直为阴性。

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