两个月大气腹男婴消瘦及发育迟缓

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
M. Susanti, Aidah Juliaty
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引用次数: 1

摘要

营养对人类至关重要,如果营养不足可能导致营养不良。营养不良的儿童非常容易受到感染,例如肺炎,其并发症之一是气腹膨出,这是一种更严重的疾病。肺充气囊肿是在肺实质内形成的薄壁充气囊肿,在493例肺炎婴儿和儿童中有2.4%被发现。然而,在葡萄球菌性肺炎中,肺膨出的频率可高达85%。婴幼儿更容易患气肿。将消瘦伴气膨出与许多其他类似的诊断区分开来是至关重要的。未能识别可能导致错误的诊断和治疗,对患者护理造成弊大于利。本病例强调了对新生儿肺炎保持高度怀疑的重要性,即使放射检查结果正常,也要寻找气肿。病例描述:我们报告一个2个月大的婴儿出现消瘦和发育迟缓并伴有气腹。诊断是根据病史、体格检查、使用世卫组织儿童生长标准的人体测量学检查、实验室检查和放射成像作出的。患者的管理是根据多学科系统,包括抗生素给药和浪费管理。结论气肿是肺炎后的严重并发症。肺炎常见于消瘦儿童。儿童消瘦症是由各种潜在因素引起的。这个过程从子宫开始,持续到生命的前1000天。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Marasmus and stunting in 2-month-old boy with pneumatocele
BackgroundNutrition is essential for humans and if inadequate may lead to undernutrition. Undernourished children are very susceptible to infections, such as pneumonia, one of its complications being pneumatocele, which is a more severe condition. Pulmonary pneumatoceles are thin-walled, air-filled cysts that develop within the lung parenchyma and have been found in 2.4 percent of 493 infants and children with pneumonia. However, in staphylococcal pneumonias, the frequency of pneumatocele can reach as high as 85 percent. Infants and young children are more likely to have pneumatoceles. It is critical to distinguish marasmus with pneumatocele from many other similar diagnoses. Failure to recognize can lead to incorrect diagnosis and treatment, causing more harm than good to patient care. This case highlights the importance of maintaining a high suspicion of pneumonia in neonates even with normal radiological findings and of searching for pneumatoceles. Case DescriptionWe report a case of marasmus and stunting accompanied by pneumatocele in a 2-month-old boy. The diagnosis was made based on history, physical examination, anthropometric examination using the WHO child growth standards, laboratory tests, and radiological imaging. Management of the patient was according to a multidisciplinary system including antibiotics administration and wasting management. ConclusionPneumatoceles are serious complications after pneumonia. Pneumonia is common in children with marasmus. Children with marasmus are caused by various underlying factors. The progression begins in the womb and continues through the first 1000 days of life.
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来源期刊
Universa Medicina
Universa Medicina MEDICINE, GENERAL & INTERNAL-
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27
审稿时长
20 weeks
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