Meyer G A, Shope T R, Waecker N J, Lanningham F H
Department of Pediatrics, Naval Medical Center, San Diego, California 92134-5000, USA.
Clin Pediatr (Phila). 1995 Mar;34(3):146-50. doi: 10.1177/000992289503400305.
We report two cases of Moraxella catarrhalis (M. catarrhalis) bacteremia in apparently healthy children. One patient had bilateral otitis media and the other had pharyngitis and sinusitis; both patients had uncomplicated clinical courses. A literature review revealed 22 reported cases of M. catarrhalis bacteremia in children, 14 (63%) of which occurred in patients who had no identified underlying condition. Eight (36%) cases were seen in children who were immunocompromised. Nine (40%) patients presented with either purpura, petechia, or a maculopapular rash. M. catarrhalis is well known as a respiratory pathogen, but it has not been recognized as a common cause of unsuspected bacteremia in children.
我们报告了两例表面健康儿童感染卡他莫拉菌（M. catarrhalis）败血症的病例。一名患者患有双侧中耳炎，另一名患者患有咽炎和鼻窦炎；两名患者的临床病程均无并发症。文献综述显示，有22例儿童卡他莫拉菌败血症的报告病例，其中14例（63%）发生在未发现潜在疾病的患者中。8例（36%）病例见于免疫功能低下的儿童。9例（40%）患者出现紫癜、瘀点或斑丘疹。卡他莫拉菌是一种众所周知的呼吸道病原体，但尚未被认为是儿童不明原因败血症的常见病因。
