Late-Onset Group B Streptococcal Meningitis Complicated with Extensive Cerebral Infarction

Q3 Medicine

Pediatric Infection and Vaccine Pub Date : 2018-04-01 DOI:10.14776/PIV.2018.25.1.45

Mingeun Cho, Yongmin Kim, H. Cho, Soo-Han Choi

引用次数: 0

Abstract

B군 사슬알균은 3개월 미만 영아에서 발생하는 침습성 감염증의 주요한 원인균이다. 신생아 침습성 B군 사슬알균 수막염에 의한 뇌혈관 합병증은 드물게 보고되고 있다. 발열을 주소로 내원한 생후 29일 신생아에서 세균성 수막염이 진단되었다. 입원 3일째 경련이 발생하였고 뇌자기공명영상에서 다발성의 광범위한 대뇌피질(양측 전두엽, 측두엽 및 후두엽)과 뇌량 및 좌측 후두엽에서 급성 뇌경색증 합병된 소견을 보였다. 환아의 혈액과 뇌척수액에서 B군 사슬알균이 분리되었고 serotype III, ST-19으로 확인되었다. 현재 환아는 피질맹과 발달 지연을 보이고 있다.

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迟发性B组链球菌性脑膜炎并发广泛脑梗死

B群链球菌是3个月以下婴儿发生侵袭性感染症的主要致病菌。新生儿侵袭性B群链球菌脑膜炎引起的脑血管并发症很少有报告。以发烧为住所来院的出生后29日，新生儿被诊断为细菌性脑膜炎。住院第三天发生痉挛，脑核磁共振成像显示多发性大大脑皮层(两侧前头叶、颞叶及喉叶)和胼胝体及左侧喉叶合并急性脑梗塞。从患者的血液和脑脊液中分离出B群链球菌，确认为serotype III和ST-19。目前患儿呈现皮质盲和发育迟缓。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Infection and Vaccine Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Pediatric Infection and Vaccine is an official publication of the Korean Society of Pediatric Infectious Diseases and a peer-reviewed, open-access, multidisciplinary journal directed to physicians and other health care professionals who manage infectious diseases of childhood. The editorial board calls for the articles that originate from worldwide research or clinical study groups and the publication is determined by the editors and reviewers who are the experts in the specific field of infectious diseases of childhood. The categories of manuscripts are original articles, case reports, reviews and rapid communication. The Journal is published triannually and distributed to members of the Korean Society of Pediatric Infectious Diseases, medical schools, libraries and related institutes to persue the academic advancement in infectious diseases and to promote active communication between the members and international societies of pediatric infectious diseases. Eventually, the journal aims to contribute to the cure of infectious diseases of childhood and to the improvement of public health.