急性腹泻病婴儿假膜性肠铸型的自发排泄:一例报告和文献复习。

JPGN reports Pub Date : 2024-07-31 eCollection Date: 2024-11-01 DOI:10.1002/jpr3.12115
David G Cairney, Paul Fineron, Andrew J Kirby, Paul Henderson, Peter M Gillett
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引用次数: 0

摘要

我们提出的情况下,一个8周大的婴儿急性血性腹泻和随后通过肠铸型。广泛的免疫和感染检查未发现病因。组织病理学显示铸型为肠假膜。病理标本16S细菌聚合酶链反应阴性。由于腹泻损失,该婴儿需要一段时间的肠外营养,但完全康复,并没有这种疾病的后遗症。肠道铸型是罕见的,特别是在儿科。它引起广泛的差异,包括急性感染,免疫缺陷和缺血。在这种情况下,准确量化粪便流失,适当的营养支持和与微生物学同事的联系是必不可少的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spontaneous excretion of a pseudomembranous intestinal cast in an infant with an acute diarrhoeal illness: A case report and literature review.

We present a case of an 8-week-old infant with acute bloody diarrhoea and subsequent passage of an intestinal cast. An extensive immune and infection work-up did not reveal a causative aetiology. Histopathology indicated the cast represented an intestinal pseudomembrane. 16S bacterial polymersae chain reaction of the pathology specimen was negative. The infant required a period of parenteral nutrition due to diarrhoeal losses but made a full recovery and had no sequelae from this illness. Intestinal casts are a rare occurrence, particularly in paediatrics. It prompts a wide differential which includes acute infection, immunodeficiency and ischaemia. Accurate quantification of stool losses, appropriate nutrition support and liaison with microbiology colleagues were essential in this case.

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