Neonatal shigellosis. Report of 16 cases and review of the literature.

Neonatal shigellosis. Report of 16 cases and review of the literature.
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新生儿志贺氏菌病。

DOI:
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发表时间:
1967
期刊:
A M A Journal of Diseases of Children
影响因子:
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通讯作者:
K. C. Haltalin
K. C. Haltalin
中科院分区:
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文献类型:
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作者:
K. C. Haltalin

文献摘要

被引文献

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志贺氏菌病很少影响出生后第一个月的婴儿。1-5即使在高度流行的地区,新生儿志贺菌病也极为罕见。3,5这是令人困惑的,因为新生儿易受其他肠道感染,特别是大肠杆菌和沙门氏菌的肠道致病菌株。全世界的文献仅包含8例细菌学确诊的新生儿志贺氏菌病(出生后28天内发病)的报告6-12。因此,对该年龄组志贺菌病的临床表现和流行病学意义知之甚少。本文总结了8个以前报告的情况下,16例儿童医疗中心和帕克兰纪念医院在达拉斯。四个案件,而开发的婴儿在托儿所,详细介绍。其中两名婴儿死于肠穿孔后的腹膜炎。4例在医院托儿所发病的病例1。一个2,268克(5磅)的黑人女孩出生了。
SHIGELLOSIS rarely affects infants during the first month of life. 1-5 Even in highly endemic areas neonatal shigellosis is exceedingly uncommon. 3,5 This is puzzling since newborn infants are susceptible to other enteric infections, notably enteropathogenic strains of Escherichia coli and Salmonella species. The world's literature contains reports 6-12 of only eight bacteriologically confirmed cases of neonatal shigellosis (onset of disease before 28 days of life). As a consequence, little is known about the clinical manifestations and epidemiologic implications of shigellosis in this age group. This paper summarizes the eight previously reported cases and the 16 cases seen at Children's Medical Center and Parkland Memorial Hospital in Dallas. Four cases, which developed while the infants were in the nursery, are presented in detail. Two of these infants died of peritonitis following intestinal perforation. Four Cases With Onset in the Hospital Nursery Case1.—A 2,268-gm (5 lb) Negro girl was born