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Group B Streptococcal Cellulitis of Perineum and Lower Abdomen: Report of One Case

由B群鏈球菌引起的會陰部與下腹部窩組織炎:一病例報告

摘要


本報告描述一位得到散發性B群鏈球菌感染的四週大女嬰,其最初的臨床表徵是在會陰部與下腹部出現紫青色的腫脹,很容易誤以爲是下腹部的外傷。後來根據細菌培養的結果,證實本病例患有B群鏈球菌的敗血症、腦膜炎與下腹部蜂窩組織炎。本例個案不尋常之處,在於以下腹部的蜂窩組織炎作爲B群鏈球菌感染最初的臨床表現,而且合併發生敗血症與腦膜炎。這些經驗告訴我們,對於發生在較小嬰兒的蜂窩組織炎,應該特別注意是否有全身性的感染。處置這類病例的時候,診斷檢查的工作必須力求詳細,在一開始也必須使用較爲積極的治療方法。

並列摘要


This report describes a 4-week-old female baby with disseminated group B streptococcus (GBS) infection. The illness began as a swelling with violaceous hue of perineum and lower abdomen, a manifestation that may be falsely attributed to a traumatic injury. GBS septicemia, meningitis and cellulitis of lower abdomen was confirmed by cultures. This case illustrated an unusual presentation of GBS infection as cellulitis of lower abdomen. The presence of concurrent septicemia and meningitis in this case indicated that a more extensive diagnostic work-up and a more aggressive therapeutic approach are needed for young infants with cellulitis.

並列關鍵字

group B streptococcus cellulitis perineum

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