新生儿路德维希心绞痛与旋风进展和灾难性的结果:一个病例报告

Kris Wilson, Aswathy Rahul, Suvadha Krishnan, Radhika Sujatha, S. Saraswathyamma
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引用次数: 0

摘要

路德维希心绞痛是一种快速进展的危及生命的疾病,其特征是坏疽性蜂窝组织炎和颈部和口腔底部软组织水肿。发病率在儿童中非常罕见,在新生儿中更罕见,病例报告很少。早期诊断是预测气道损害和早期处理的关键。我们报告一个11天大的新生儿谁提出了一个持续1天的过度哭泣和怀疑败血症的病史。患者逐渐出现喘鸣,脑下区肿胀,数小时后发展为气道受损和多器官功能障碍。脑下区引流产生10ml脓液,随后生长出耐甲氧西林金黄色葡萄球菌。婴儿在出现症状后12小时内死亡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neonatal Ludwig’s angina with a whirlwind progression and catastrophic outcome: A case report
Ludwig’s angina is a rapidly progressive life-threatening disease, characterized by gangrenous cellulitis and edema of the soft tissues of the neck and the floor of the mouth. The incidence is very rare in children and even rarer in neonates, with sparse case reports. Early diagnosis is crucial in anticipating airway compromise and early management. We are reporting a case history of an 11-day old neonate who presented with an excess cry of 1-day duration and suspected sepsis. Gradually, he developed stridor, and swelling was noted in the submental area, which got progressed to a state of airway compromise and multiorgan dysfunction over a few hours. Drainage of the submental area yielded 10 ml pus which grew methicillin-resistant Staphylococcus aureus later. The baby succumbed to death within 12 h of the onset of symptoms.
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