[1例地中海贫血儿童耶尔森菌所致肝脓肿]。

Pediatrie Pub Date : 1993-01-01
F Brunel, P François, C Durand, J Croize, P Jeannoel
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引用次数: 0

摘要

一名患有地中海贫血的15岁男孩接受去铁胺治疗,出现与消化系统疾病相关的发热。这些症状导致发现多发性肝脓肿。治疗包括抗生素(第三代头孢菌素和氨基糖苷)和去铁胺停药。大约在一个月内恢复。结肠炎耶尔森菌O5抗体的发现进一步证实了系统性耶尔森菌病。铁超载和铁螯合剂有利于耶尔森氏菌的全身扩散。
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[Hepatic abscess due to Yersinia in a child with thalassemia].

A 15-year-old boy with thalassaemia major treated with desferrioxamine, experienced fever associated with digestive disorders. These symptoms led to the discovery of multiple liver abscesses. Therapy included antibiotics (third generation cephalosporin and aminoglycoside) and desferrioxamine discontinuation. Recovery occurred within one month approximately. Systemic yersiniosis was further confirmed by the finding of antibodies to Yersinia enterocolitica O5. The systemic diffusion of Yersinia is favoured by iron-overload and iron-chelating agents.

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