儿童大量心包胸膜积液并发慢性肉芽肿病1例

IF 0.5 Q4 PEDIATRICS Archives of Pediatric Infectious Diseases Pub Date : 2022-04-30 DOI:10.5812/pedinfect-118095
Sedigheh Rafiei Tabatabaei, A. Karimi, A. Zamani, M. Khalilian, S. Sadr, Taiebeh Nazari, Fariba Shirvani
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引用次数: 0

摘要

引言:慢性肉芽肿性疾病(CGD)是一种遗传性疾病,其特征是反复发生危及生命的真菌和细菌感染以及肉芽肿的形成。心包积液在这种疾病中很少见。病例介绍:该研究报告了一名患有CGD的13岁男孩,有肺炎和脓肿等反复感染史。患者表现为呼吸急促、咳嗽、腹痛和胸痛,并被诊断为严重的心包积液和胸腔积液。患者接受了抗生素、抗真菌药物和类固醇治疗,最后接受了心包切开术。结论:复发性感染和炎症性病变的CGD患者的治疗具有挑战性,需要每个患者的个人决策。
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A Child with Massive Pericardial and Pleural Effusion and Chronic Granulomatous Disease
Introduction: chronic granulomatous disease (CGD) is a genetic disease characterized by recurrent life-threatening fungal and bacterial infections and granuloma formation. Pericardial effusion is rare in this disease. Case Presentation: The study reports a 13-year-old boy with CGD and a history of recurrent infections such as pneumonia and abscesses. The patient presented with shortness of breath, cough, abdominal pain, and chest pain and was diagnosed with severe pericardial and pleural effusion. The patient was treated with antibiotics, antifungals, and steroids and finally underwent pericardiotomy. Conclusions: Treatment of CGD patients with recurrent infections and inflammatory lesions is challenging and requires individual decision-making for each patient.
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来源期刊
CiteScore
1.80
自引率
14.30%
发文量
22
期刊介绍: Archives Of Pediatric Infectious Disease is a clinical journal which is informative to all practitioners like pediatric infectious disease specialists and internists. This authoritative clinical journal was founded by Professor Abdollah Karimi in 2012. The Journal context is devoted to the particular compilation of the latest worldwide and interdisciplinary approach and findings including original manuscripts, meta-analyses and reviews, health economic papers, debates and consensus statements of clinical relevance to pediatric disease field, especially infectious diseases. In addition, consensus evidential reports not only highlight the new observations, original research and results accompanied by innovative treatments and all the other relevant topics but also include highlighting disease mechanisms or important clinical observations and letters on articles published in the journal.
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