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發表於 2010-7-1 11:25:33
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Salmonella enterica Serotype Choleraesuis Infections in Pediatric Patients
PEDIATRICS Vol. 117 No. 6 June 2006, pp. e1193-e1196
Cheng-Hsun Chiu, MD, PhDa, Chih-Hsien Chuang, MDa, Shun Chiu, MDa, Lin-Hui Su, MSb, Tzou-Yien Lin, MDa
a Division of Pediatric Infectious Diseases, Department of Pediatrics, Chang Gung Children's Hospital and Chang Gung University, Taoyuan, Taiwan
b Department of Clinical Pathology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan
RESULTS. There were 24 males and 9 females with a mean age of 3 years. Fever (rectal temperature 38°C; 94%) was the most common clinical presentation. Sixteen (52%) had fever lasting >5 days before admission. Only 18 (54%) patients had diarrhea. The most common mode of infection is occult bacteremia without focal infection. Compared with data obtained from adult patients, the gastrointestinal manifestations appeared more frequently seen in pediatric patients. However, among the 18 who presented with diarrhea, 14 had concomitant bloodstream infection. Only 1 patient, who was a case of acute leukemia, died of S Choleraesuis sepsis. Resistance to ceftriaxone, ciprofloxacin, ampicillin, trimethoprim-sulfamethoxazole, and chloramphenicol was found in 6%, 28%, 88%, 76%, and 83% of the isolates, respectively. |
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