Tóth P
Sopron Megyei Jogú Város Kórház, Gyermekosztály.
Orv Hetil. 1994 Dec 4;135(49):2701-3.
The author observed that in the throat and/or nasal culture of approximately 80% of little children admitted to hospital with urticaria-like toxic-allergic exanthem, exotoxin-producing strains of Staphylococcus aureus could be isolated. In 15 of the 19 cases presented. Toxic Shock Syndrome Toxin (TSST-1) and in 4 cases various enterotoxins were identified. With aimed antibiotic treatment the skin symptoms of the children healed up in 3-4 days. Thus, the following question is raised: when facing the Toxic Shock Syndrome Toxin for the first time, why do children develop only skin symptoms, without severe complications of the Toxic Shock Syndrome observed in adult patients. It is assumed that similarly to classic infectious diseases, the course of the illness is milder in little childhood and the frequency of complications are lower than in adulthood. This phenomenon may be attributed to the immature immune reactivity of little children.
作者观察到,在因荨麻疹样中毒性过敏疹入院的约80%的幼儿的咽喉和/或鼻腔培养物中,可分离出产生外毒素的金黄色葡萄球菌菌株。在所呈现的19例病例中,15例检测出中毒性休克综合征毒素(TSST-1),4例检测出各种肠毒素。经过有针对性的抗生素治疗,患儿的皮肤症状在3-4天内痊愈。因此,提出了以下问题:儿童首次接触中毒性休克综合征毒素时,为何仅出现皮肤症状,而不像成年患者那样出现中毒性休克综合征的严重并发症。据推测,与经典传染病类似,幼儿期疾病病程较轻,并发症发生率低于成年期。这种现象可能归因于幼儿免疫反应不成熟。