Stern H P, Engstrom C W
Clin Pediatr (Phila). 1984 Feb;23(2):113-4. doi: 10.1177/000992288402300211.
An unusual case of occult pneumococcal bacteremia is reported. A 4-month-old female presented with ascending purpura on the lower extremities as the only abnormal physical finding. All initial laboratory studies were normal; however, Streptococcus pneumoniae serotype 6 was cultured from her blood within 18 hours and subsequently from the nasopharynx. This is the first reported case in humans of occult pneumococcal bacteremia presenting with the primary clinical finding of purpura. This entity has a well defined animal model in mice.
报告了一例罕见的隐匿性肺炎球菌菌血症病例。一名4个月大的女性下肢出现进行性紫癜，这是唯一的异常体征。所有初始实验室检查均正常；然而，在18小时内从她的血液中培养出6型肺炎链球菌，随后在鼻咽部也培养出该菌。这是人类首例以紫癜为主要临床表现的隐匿性肺炎球菌菌血症病例报告。该疾病在小鼠中有明确的动物模型。
