中华全科医学2024，Vol.22Issue(2) ：349-351,356.DOI:10.16766/j.cnki.issn.1674-4152.003400

儿童咽峡炎链球菌感染致重症肺炎、包裹性脓胸1例并文献复习

Severepneumonia complicated with encapsulated empyema caused by Streptococcus anginosus in a child:a case report and literature review

韩美林 徐忠 朱秋皎 周利兵 张春旭 黄赛虎 柏振江 吴水燕
中华全科医学2024，Vol.22Issue(2) ：349-351,356.DOI:10.16766/j.cnki.issn.1674-4152.003400
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儿童咽峡炎链球菌感染致重症肺炎、包裹性脓胸1例并文献复习

Severepneumonia complicated with encapsulated empyema caused by Streptococcus anginosus in a child:a case report and literature review

韩美林 1徐忠 1朱秋皎 1周利兵 1张春旭 1黄赛虎 1柏振江 1吴水燕1
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作者信息

  • 1. 苏州大学附属儿童医院重症医学科,江苏苏州 215000
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摘要

本文报道咽峡炎链球菌(Streptococcus anginosus,SA)感染致儿童重症肺炎、包裹性脓胸1例并复习相关文献.该患儿以"发热、呼吸急促"为主要表现,胸部CT提示两肺炎症,肺实变伴部分肺不张,两侧包裹性胸腔积液,经及时诊断及早期抗感染联合外科胸腔镜手术治疗,患儿恢复良好,出院后随访2.5个月,患儿肺部病变基本吸收,无后遗症.

Abstract

This article reported a case of severe pneumonia and encapsulated empyema in a child caused by streptococcus anginosus infection.The patient was admitted to the hospital with fever and shortness of breath.A computed tomography scan of the chest showed bilateral pneumonia,pulmonary consolidation with partial atelectasis,and bilateral encapsulated pleural effusion.After timely antibiotic therapy combined with video-assisted thoracoscopic surgery,the child had a sig-nificant clinical improvement.The patient was followed up for 2.5 months after discharge,he was well.The chest X-ray was normal,and there were no sequelae.

关键词

重症肺炎/咽峡炎链球菌/脓胸/儿童

Key words

Severe pneumonia/Streptococcus anginosus/Empyema/Pediatric

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基金项目

江苏省基础研究计划青年基金项目(BK20210097)

出版年

2024
中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子：1.688
ISSN：1674-4152
参考文献量17
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