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頁籤選單縮合
題 名 | Streptococcal Toxic Shock Syndrome with Initial Manifestation of Abdominal Pain and Cholecystitis=以腹痛,膽囊炎為初始表現的鏈球菌毒性休克症候群 |
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作 者 | 洪德育; 王麟玉; 陳俊達; 陳德人; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 46:2 民94.03-04 |
頁 次 | 頁106-110+123 |
分類號 | 415.15 |
關鍵詞 | 鏈球菌毒性休克症候群; A型鏈球菌感染; 抗鏈球菌溶血素O力價; 膽囊炎; 膽囊積水; Streptococcal toxic shock syndrome; Group A streptococcal infection; Anti-streptolysin O titer; Cholecystitis; Hydrops of the gallbladder; |
語 文 | 英文(English) |
英文摘要 | Streptococcal toxic shock syndrome with the initial manifestation of abdominal pain and cholecystitis is rare. We report the case of a 10-year-old boy who presented with abdominal pain, cholecystitis and shock initially. Acute respiratory distress syndrome, renal and hepatic insufficiency and disseminated intravascular coagulation developed soon after admission. Skin rash and desquamation were found subsequently during the recovery phase. The blood and sputum cultures were sterile. Acute and convalescent plasma from the patient showed increased anti-streptolysin O titer (ASLO titer). Measurement of the ASLO titer on Day 11 after the onset of disease had an ASLO titer of 242 IU/ml (N Latex ASL, Dade Behring Marburg GmbH, USA), and the ASLO titer on Day 21 after the onset of disease showed an increase to 875 IU/ml. These clinical findings and the plasma analysis were consistent with streptococcal toxic shock syndrome. |
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