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頁籤選單縮合
題名 | Disseminated Staphylococcal Disease: Report of One Case=瀰漫性葡萄球菌感染症:一病例報告 |
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作者 | 王金福; 李冠賢; 王志祿; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷期 | 46:2 民94.03-04 |
頁次 | 頁87-90+119 |
分類號 | 415.15 |
關鍵詞 | 瀰漫性葡萄球菌感染性疾病; 關節炎; 血栓塞; Disseminated staphylococcal disease; Arthritis; Thromboembolism; |
語文 | 英文(English) |
英文摘要 | Childhood septic arthritis is not only an uncommon presentation with polyarticular involvement, but is also rarely complicated with thromboembolism. We report a case of a 10-year-old boy who suffered multiple staphylococcal arthritis, deep vein thrombosis, pulmonary embolism, pericardial effusion and occlusion of the anterior parietal branch of the right middle cerebral artery. Oxacillin-sensitive Staphylococcus aureus was isolated from blood, synovial fluid and pericardial effusion. Intravenous six-week oxacillin combined with two-week gentamicin for eradicating the pathogen, arthrotomy for debridment and subcutaneous low-molecular-weight heparin for preventing further thromboembolism were administered during admission. In addition, surveys for immunodeficiency, connective tissue disease and hemostatic dysfunction produced negative findings. The patient was discharged with neither painful disability of involved joints nor neurological sequelae. |
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