Echovirus 11 Sepsis in a Neonate: Report of One Case

伊科11型病毒在新生兒感染引發敗血症：一病例報告

蕭建洲(Chien-Chou Hsiao) ； 曹龍彥(Lon-Yen Tsao) ； 陳曉能(Hsiao-Nehg Chen)

《Acta Paediatrica Taiwanica》 44卷2期 (2003/04) Pp. 104-105

https://doi.org/10.7097/APT.200304.0104

摘要

新生兒感染腸病毒有較高危險性變成敗血症，腦膜腦炎，心肌炎，肝炎。伊科11型病毒及克沙奇B群病毒是新生兒腸病毒感染主要的菌種。我們報告一個經由母親而感染伊科11型病毒的新生兒，是台灣首例發表的新生兒伊科11型病毒感染致死病例。儘管給予免疫球蛋白及交換輸血的積極治療，最後仍因敗血症，猛暴性肝炎，彌漫性血管內凝血而死亡。

關鍵字

伊科病毒 ； 敗血症 ； 免疫球蛋白靜脈輸注 ； 新生兒

並列摘要

Neonates infected with nonpolio enteroviruses are at high risk for developing significant illness, including sepsis-like illness, meningoencephalitis, myocarditis and or hepatitis. Echoviruses and group B coxsackieviruses account for the majority of neonatal enterovirus infections. We reported a case of echovirus 11 infection in newborn associated with maternal infection. To our knowledge, this is the first reported fatal case of neo natal echovirus infection in Taiwan. Eventually, the baby expired because of severe sepsis-like illness, fulminant hepatitis, disseminated intravascular coagulation, and extensive hemorrhagic manifestations in spite of intensive care, intravenous immunoglobulin in fusion and exchange transfusion.

並列關鍵字

echovirus 11 ； sepsis-like illness ； IVIG ； newborn