Neonatal Staphylococcus Aureus Pancarditis: Report of One Case

嬰兒金黃色葡萄球菌全心臟炎：一病例報告

陳昭惠(Chao-Huei Chen) ； 彭海祁(Hai-Chyi Peng) ； 何霖(William L. Ho) ； 蘇閔政(Min-Cheng Su) ； 遲景上(Ching-Shiang Chi)

《Acta Paediatrica Sinica》 34卷5期 (1993/10) Pp. 385-389

摘要

一個二十天大之女嬰，因食慾不振，活力差，及腹脹住進本院。經診斷為壞死性腸炎，並接受外科手術治療。在住院中發生多次敗血症及唸珠球菌感染。在住院五十六天時，發現有心跳過速，血小板過低及心臟擴大。爾後發生突發性心跳暫停。死後病理報告為金黃色葡萄球菌全心臟炎。在嬰兒期全心臟炎是一罕見且會致命的疾病。當一個有留置導管的病人發生不明原因之血小板過低及急性心臟擴大時，應及早做心臟超音波檢查並給予適當之抗生素。

並列摘要

Due to poor feeding, decreased activity and severe abdominal distension, a 20-day old female infant was admitted to our hospital. The patient was diagnosed as having necrotizing enterocolitis and received a multiple segmental resection. During the hospitalization, recurrent sepsis and candidiasis occurred. On the 56th day of admission, tachycardia, thrombocytopenia and cardiomegaly were noted. Sudden onset of cardiac arrest occurred and a post-mortem examination revealed staphylococcal pancarditis. Pancarditis is a rare and fatal disease in newborns. When a patient with a catheter insertion shows unknown cause of thrombocytopenia and acute onset of cardiomegaly, an echocardiogram is highly suggested. Early diagnosis and proper parenteral antibiotics may be life-saving.

並列關鍵字

necrotizing entercolitis ； pancarditis ； staphylococcus septicemia