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首页> 外文期刊>ID Cases >Retropharyngeal abscess due to Staphylococcus aureus complicated by bilateral neck and intraabdominal abscesses in an immunocompetent infant
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Retropharyngeal abscess due to Staphylococcus aureus complicated by bilateral neck and intraabdominal abscesses in an immunocompetent infant

机译:由于金黄色葡萄球菌(Thaphylococcus aurecus)在免疫活性婴儿的双侧颈和腹部脓肿复杂化

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摘要

Retropharyngeal abscess is a serious condition, with potentially high morbidity and mortality if not detected early. The patient, a previously healthy 10-month-old girl, was admitted due to retropharyngeal and bilateral cervical lymph node abscesses. The neck abscesses recurred, despite surgical drainage and treatment with intravenous ampicillin-sulbactam. Methicillin-susceptibleStaphylococcus aureuswas identified from the abscess culture. A mesenteric abscess was also found during treatment. Intravenous ampicillin-sulbactam was switched to intravenous cephazolin and metronidazole, and the patient was successfully treated without further surgical intervention. No recurrence was observed throughout the 1-year follow-up period. Immune function testing, especially neutrophil function, did not reveal any abnormality. Neck abscesses can spread to the deep or shallow neck spaces directly or through the lymph node chains, even in immunocompetent hosts. Clinicians should consider deep neck infection in patients with cervical lymph node abscess, even if they present without the typical signs and symptoms of retropharyngeal abscess.
机译:逆床脓肿是一种严重的病情,如果未提前检测到潜在的发病率和死亡率。由于逆流性和双侧宫颈淋巴结脓肿,患者是一个先前健康的10个月大女孩。尽管手术引流和用静脉内氨苄青霉素 - 苏沟酰胺处理,但颈部脓肿重复。 Methicililin-anceptibleshylophycoccccus aureuswas从脓肿文化中鉴定。在治疗过程中也发现了一种肠系膜脓肿。将静脉内氨苄青霉素 - 抑制蛋白切换到静脉内切割醇和甲硝唑,并且在没有进一步的外科介入的情况下成功地治疗患者。在整个1年的随访期间没有观察到复发。免疫功能测试,尤其是中性粒细胞功能,没有透露任何异常。颈部脓肿可以直接或通过淋巴结链蔓延到深或浅颈部空间,即使在免疫活性宿主中也是如此。临床医生应考虑宫颈淋巴结脓肿患者的深颈部感染,即使它们在没有典型的症状和逆床脓肿症状的情况下存在。

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