少动鞘氨醇单胞菌引起小儿败血症合并脑膜炎1例  

A case of septicemia complicated with meningitis in a child caused by Sphingomonas paucimobilis

作　　者：陈明亮[1] 王刚毅[1] 许学斌[1] 金汇明[1] 陈敏[1] 邵祝军[2] 张曦[1] 

机构地区：[1]上海市疾病预防控制中心,上海200336 [2]中国疾病预防控制中心,北京102206

出　　处：《微生物与感染》2010年第3期160-162,共3页Journal of Microbes and Infections

基　　金："十一五"国家科技重大专项(2008ZX10004-002);上海市卫生局科研项目(05Ⅲ029)

摘　　要：本文报道1例罕见的由少动鞘氨醇单胞菌引起的小儿败血症合并脑膜炎。该患儿突发高热起病,伴有皮肤散在瘀点。根据实验室微生物分离和鉴定,确诊为少动鞘氨醇单胞菌引起的败血症;同时根据脑脊液生化常规结果,诊断为合并细菌性脑膜炎。少动鞘氨醇单胞菌引起的小儿败血症合并脑膜炎属罕见病例,且该患儿有类似流行性脑脊髓膜炎的症状,易被误诊为春季小儿流行性脑脊髓膜炎,需引起临床及实验室工作人员的重视。A rare case of septicemia complicated with meningitis in a child caused by Sphingomonas paucimobilis is reported.The patient was admitted for a sudden high fever with petechiae distributed on the skin.Based on the biochemistry test of cerebrospinal fluid and the microbiological culture and identification in laboratory,the diagnosis was confirmed to be septicemia complicated with bacterial meningitis.Meningitis in children caused by Sphingomonas paucimobilis is rare.Since bacterial meningitis cases share common symptoms with epidemic cerebrospinal meningitis,it is important for clinicians and laboratories to study the etiology carefully during the epidemic season.

关 键 词：少动鞘氨醇单胞菌 小儿脑膜炎 流行性脑脊髓膜炎 

分 类 号：R725.1[医药卫生—儿科]