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  

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

作　　者：韩美林 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] HAN Meilin;XU Zhong;ZHU Qiujiao;ZHOU Libing;ZHANG Chunxu;HUANG Saihu;BAI Zhenjiang;WU Shuiyan(Pediatric Intensive Care Unit,Soochow University Affiliated Children's Hospital,Suzhou,Jiangsu 215000,China)

机构地区：[1]苏州大学附属儿童医院重症医学科,江苏苏州215000

出　　处：《中华全科医学》2024年第2期349-351,356,共4页Chinese Journal of General Practice

基　　金：江苏省基础研究计划青年基金项目(BK20210097)。

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。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 significant 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 

分 类 号：R378.12[医药卫生—病原生物学] R563.1[医药卫生—基础医学]