CLINICAL MANIFESTATIONS OF MELIOIDOSIS IN CHILDREN

CLINICAL MANIFESTATIONS OF MELIOIDOSIS IN CHILDREN
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DOI:
10.1097/00006454-199502000-00010
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发表时间:
1995-02-01
影响因子:
3.6
通讯作者:
VIENGNONDHA, S
VIENGNONDHA, S
中科院分区:
医学4区
文献类型:
--
作者:
LUMBIGANON, P;VIENGNONDHA, S

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对1979年至1993年间在斯利那加林德医院收治的55例经培养证实的类鼻疽病患儿进行了回顾性分析。败血症20例,局限性感染35例。败血症组有11名患者(55%)有基础疾病,而局部感染组无一例。在败血症患者中,最常见的器官受累是肺(75%)。休克发生率为45%,病死率很高(60%)。局限性类鼻炎以化脓性腮腺炎最常见(40%)。其他常见感染包括皮肤和皮下脓肿以及淋巴结炎。这组患者中没有发生休克或死亡。
Fifty-five children with culture-proved melioidosis treated at Srinagarind Hospital from 1979 to 1993 were retrospectively reviewed. Twenty patients had septicemia and 35 patients had localized infection. Eleven patients (55%) in the septicemic group had underlying diseases but none in the localized infection group. In the septicemic patients the most common organ involvement was the lung (75%). Shock was present in 45% and the case fatality rate was very high (60%). In localized melioidosis suppurative parotitis was the most common manifestation (40%). Other common infections included skin and subcutaneous abscesses and lymphadenitis. There was no shock or death in this group.