Pediatric Infection and Vaccine最新文献_第4页

두개저 이상을 동반한 재발성 세균성 뇌수막염 증례보고 报告一例伴有颅底异常的复发性细菌性脑膜炎病例

Pediatric Infection and Vaccine Pub Date : 2020-04-01 DOI: 10.14776/PIV.2020.27.E4

오 정민, 이 지연, 임 희정, 조 현혜, 김 경효

{"title":"두개저 이상을 동반한 재발성 세균성 뇌수막염 증례보고","authors":"오 정민, 이 지연, 임 희정, 조 현혜, 김 경효","doi":"10.14776/PIV.2020.27.E4","DOIUrl":"https://doi.org/10.14776/PIV.2020.27.E4","url":null,"abstract":"8세부터 17세까지 4회의 세균성 뇌수막염을 경험하였던 21세 남자에서 세균성 뇌수막염이 재발하였고, 혈액과 뇌척수액에서 group B streptococcus (GBS)가 배양되었다. GBS에 의한 성인 뇌수막염의 사례는 흔하지 않으며, 본 증례 환자의 경우에도 과거 소아청소년시기에 재발했던 뇌수막염의 원인은 Streptococcus pneumoniae였다. 저자들은 세균성 뇌수막염이 재발하는 원인 중 환자의 면역 결핍 여부에 대해서는 검사를 통해 배제하였고, 기존의 여러 연구결과에 비추어보아 첫 발병 시부터 존재했던 두개저 해부학적 이상이 S. pneumoniae에 의한 뇌수막염 재발의 원인이라고 판단하였다. 나아가 성인이 되어 GBS 뇌수막염이 발병한 이유는 GBS 혈청형에 대한 옵소닌 포식항체의 혈청학적 유병률을 조사한 연구에 비추어보아 증례 환자가 GBS Ib에 대한 항체가 음성인 경우라면, 해부학적 결함이 해결되지 않은 상태가 코인두 보균이 침습 감염을 일으킬 수 있는 경로가 되어 발병한 사례라고 생각하였다. 환자는 3주 간 항생제 치료 후 임상 경과가 호전되어 퇴원 후 다른 병원에서 수막종과 동반된 뇌기저부의 뇌척수액 누출을 확진 받고 수술을 받았다. 환자는 앞으로도 세균성 뇌수막염 재발 여부와 후유증으로 치료받고 있는 뇌전증에 대해 지속적인 추적관찰이 필요하다.","PeriodicalId":37997,"journal":{"name":"Pediatric Infection and Vaccine","volume":"7 1 1","pages":"69-76"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75495794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Isolated Sphenoid Sinusitis with Nontypeable Haemophilus influenzae Bacteremia in a Healthy Child 一个健康儿童孤立性蝶窦炎伴不可分型流感嗜血杆菌菌血症

Pediatric Infection and Vaccine Pub Date : 2020-01-01 DOI: 10.14776/piv.2020.27.e2

M. Seok, K. Choi, Saeam Shin, K. Cho

引用次数: 0

A Case of Brain Abscess due to Parvimonas micra in a Healthy Child without Dental Disease 无牙病的健康儿童微细小单胞菌所致脑脓肿一例

Pediatric Infection and Vaccine Pub Date : 2020-01-01 DOI: 10.14776/piv.2020.27.e6

Shin Young Lee, T. Roh, H. Jung

引用次数: 0

Guidelines for Coronavirus Disease 2019 Response in Children and Adolescents 2019年儿童和青少年冠状病毒病应对指南

Pediatric Infection and Vaccine Pub Date : 2020-01-01 DOI: 10.14776/piv.2020.27.e11

Ki Hwan Kim, E. Cho, Dong Hyun Kim, H. Kim, J. Park, B. Eun, D. Jo, Soo-Han Choi, Jae Hong Choi, M. Han, E. Choi, Jong-Hyun Kim

引用次数: 7

Epidemiology, Virology, and Clinical Features of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2; Coronavirus Disease-19) SARS-CoV-2的流行病学、病毒学及临床特征冠状病毒Disease-19)

Pediatric Infection and Vaccine Pub Date : 2020-01-01 DOI: 10.14776/piv.2020.27.e9

Su Eun Park

引用次数: 3

A Case of Expulsion of an Adult Ascaris Worm from the Anus of a 2-year-old Boy 2岁男童肛门排出成年蛔虫一例

Pediatric Infection and Vaccine Pub Date : 2020-01-01 DOI: 10.14776/piv.2020.27.e1

Y. Cho, Sik Kyung Choi, S. Kim

{"title":"A Case of Expulsion of an Adult Ascaris Worm from the Anus of a 2-year-old Boy","authors":"Y. Cho, Sik Kyung Choi, S. Kim","doi":"10.14776/piv.2020.27.e1","DOIUrl":"https://doi.org/10.14776/piv.2020.27.e1","url":null,"abstract":"Ascariasis is the most common helminthic infection in humans. However, its prevalence has been very low in Korea since the 1990s. Recently, there have been several case reports on intestinal obstruction or pancreaticobiliary disease due to infection with Ascaris lumbricoides in adults. However, cases of ascariasis in children have rarely been reported in Korea. We report a case of ascariasis in a 2-year-old boy who experienced expulsion of an adult ascaris worm from his anus. His mother found the worm in his diaper in the morning. His medical history was nonsignificant for any previous illnesses. There were no specific symptoms, and no abnormal findings were found on physical examination. The worm was pink, elongated, and cylindrical; it was 25 cm long and 5 mm wide. Unfertilized eggs of A. lumbricoides were detected in his stool specimen. He was treated with albendazole and remained asymptomatic at follow-up. As long as the number of immigrants from endemic areas and people returning from overseas trips, and import of agricultural products keep increasing, ascariasis can still occur in Korea. Therefore, it is necessary to raise awareness regarding ascariasis.","PeriodicalId":37997,"journal":{"name":"Pediatric Infection and Vaccine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66641858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disseminated Septic Lesions Caused by Staphylococcus epidermidis Mimicking Cysticercosis Detected on Ultrasonography in a Pediatric Patient with Acute Myeloid Leukemia 急性髓性白血病患儿表皮葡萄球菌模拟囊虫病引起弥散性脓毒性病变的超声检查

Pediatric Infection and Vaccine Pub Date : 2020-01-01 DOI: 10.14776/piv.2020.27.e16

Jae Min Lee, Joon-sik Choi, K. Yoo, Yae-Jean Kim, Sun-Ja Kim

引用次数: 0

A Pediatric Case of Dengue Fever with Extreme Hyperglycemia Developed in a Family Who Returned from India 一个从印度返回的家庭中发生了一例伴有极端高血糖的儿童登革热病例

Pediatric Infection and Vaccine Pub Date : 2020-01-01 DOI: 10.14776/piv.2020.27.e8

J. Kim, H. Kim

引用次数: 0

Two Cases of Vaccine-Associated Measles in Daegu, South Korea, 2019 2019年韩国大邱两例疫苗相关麻疹病例

Pediatric Infection and Vaccine Pub Date : 2020-01-01 DOI: 10.14776/piv.2020.27.e22

E. Yu, W. Kim, Young Jin Kim

引用次数: 1

Group A Streptococcal Bacteremia in Pediatric Patients: A Single-Center Study 儿童患者的A组链球菌菌血症:一项单中心研究

Pediatric Infection and Vaccine Pub Date : 2020-01-01 DOI: 10.14776/piv.2020.27.e15

Dongsub Kim

{"title":"Group A Streptococcal Bacteremia in Pediatric Patients: A Single-Center Study","authors":"Dongsub Kim","doi":"10.14776/piv.2020.27.e15","DOIUrl":"https://doi.org/10.14776/piv.2020.27.e15","url":null,"abstract":"Purpose: Group A streptococcus (GAS) is a common pathogen in pediatric patients and often causes acute pharyngotonsillitis and skin and soft tissue infections. In addition, bacteremia with significant morbidity and mortality can also occur. This study was conducted to describe the clinical manifestations and treatment outcomes of pediatric GAS bacteremia patients in Korea. Methods: This was a single-center, retrospective study. From January 2000 to December 2016, pediatric patients aged ≤18 years with GAS bacteremia were studied. Clinical manifestations, underlying diseases, intensive care unit stay, and antibiotic susceptibility were evaluated. Results: During the study period, 19 patients had GAS bacteremia. Ten (53%) were male, and the median age was 7.4 years (range, 0.3–17.4 years). Fourteen (74%) had chronic underlying diseases. Five (26%) were immunocompromised (leukemia and chronic kidney disease). Eight (42%) had lymphatic or vascular malformations, of which seven had lesions with signs of inflammation. Three (16%) developed pneumonia, and two of them received ventilator care. The 30-day mortality rate was 6% (1/19), and the cause of death was bacteremic pneumonia. All GAS isolates were sensitive to penicillin. Fifteen (79%) were sensitive to both erythromycin and clindamycin. Conclusions: This study identified various clinical manifestations of GAS bacteremia. GAS should be considered as a potential pathogen that can cause bacteremia and result in a serious clinical course.","PeriodicalId":37997,"journal":{"name":"Pediatric Infection and Vaccine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66641934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0