Brook I
Department of Pediatrics, Georgetown University School of Medicine, Washington, DC, USA.
J Pediatr Surg. 1998 Aug;33(8):1279-82. doi: 10.1016/s0022-3468(98)90168-3.
The purpose of this study was to present the microbiology and clinical features of six children with superficial suppurative thrombophlebitis (SST) caused by anaerobic bacteria.
A retrospective review of microbiological and clinical data was undertaken.
Anaerobic bacteria alone were recovered in four instances, and they were mixed with facultative bacteria in two. There were 12 bacterial isolates (10 anaerobic and 2 facultatives). The bacteria were Peptostreptococcus species (four isolates), Prevotella species (three), and one isolate each of Fusobacterium nucleatum, Propionibacterium acnes, Staphylococcus aureus, and Staphylococcus epidermidis. SST at an intravenous infusion site developed in all but one patient. One patient sustained trauma to the leg, and cellulitis developed. Anaerobes of oral origin (Prevotella and Fusobacterium species) were recovered in scalp vein SST, and of gastrointestinal origin (Bacteroides fragilis) in a lower extremity SST.
This study highlights the potential importance of anaerobic bacteria in children with SST.
本研究旨在呈现6例由厌氧菌引起的浅表化脓性血栓性静脉炎（SST）患儿的微生物学及临床特征。
对微生物学和临床数据进行回顾性分析。
4例仅分离出厌氧菌，2例为厌氧菌与兼性菌混合感染。共分离出12株细菌（10株厌氧菌和2株兼性菌）。这些细菌包括消化链球菌属（4株）、普雷沃菌属（3株）、具核梭杆菌、痤疮丙酸杆菌、金黄色葡萄球菌和表皮葡萄球菌各1株。除1例患者外，所有患者均在静脉输液部位发生SST。1例患者腿部受伤后发生蜂窝织炎。头皮静脉SST中分离出口腔来源的厌氧菌（普雷沃菌属和梭杆菌属），下肢SST中分离出胃肠道来源的厌氧菌（脆弱拟杆菌）。
本研究凸显了厌氧菌在儿童SST中的潜在重要性。
