钩端螺旋体脑动脉炎69例

1976～1994年我科共收治构端螺旋体（简称钩体）脑动脉炎69例。现总结如下。临床资料一、一般资料：69例中男SO例，女19例，年龄4～12a，其中4～6a17例，7～9a32例，10～12a2o例。二、发病季节：以秋季最多41例（5．4％），其次冬季17例（24．6％），春季9例（13．l％），夏季2     

以硬膜下积液为首要表现的钩端螺旋体病1例

患儿，女，11岁，因头痛2周、加重伴发热2d入院。入院前2周出现左额颞顶部钝痛，近2d加重，伴发热，热峰39．8qC，热型不规则，1d前出现右侧肢体乏力，不能持物，时有口角及右侧肢体抽动，发作数秒后可自行缓解。在当地治疗效差转入本科。有结核密切接触史，否认其他疫水接触史。入院查体：神志清，反应欠佳，无皮疹，浅表淋巴结未触及明显大，双侧瞳孔等大等圆，     

小儿钩端螺旋体脑动脉炎CT与脑管造影检查的临床评价

本文对２０例小儿钩端螺旋体脑动脉炎，从临床表现，实验室检查，脑血管造影及ＣＴ检查描述了本病的特点，认为ＣＴ扫描示大小不等的多性梗塞对该病的诊断具有参考价值。本组２０例ＣＴ扫描所示脑梗塞主要发生大大脑中动脉供血区１５，ＣＴ表现为额，颞，顶外形不一的低密度区与６例脑血管造影显示Ａ１段Ｍ１段狭窄或闭塞相符。ＣＴ扫描简便，可直接观察到脑梗塞的部位，范围与形态，患儿无痛苦，易被患儿及其家长所接受，这些均优于     

左旋咪唑治疗钩端螺旋体性脑动脉炎35例

我院应用左旋咪唑(LMS)治疗钩端螺旋体性脑动脉炎(以下简称钩脑)35例,效果明显,现总结如下.     

大剂量青霉素治疗肺出血型钩端螺旋体病4例报告

１９９８年本县发生洪灾后，我院收治钩端螺旋体病患儿４例 ,按诊断分型属肺弥漫性出血型。男３例 ,女１例 ;年龄１３．７岁～１４岁 ;病程２天～３天。诊断依据 :①有疫水接触史 ;②发热、乏力、肌肉酸痛 ;③眼球结膜下出血 ;④局部淋巴结肿大 (２例 ) ;⑤腓肠肌压痛明显 ;⑥Ｘ线胸片示两肺广泛点片状阴影 ;⑦外周血白细胞升高。此外入院时患儿均见面色苍白、呼吸急促、烦躁 ,两肺均闻及较密集的中小湿罗音 ,出现不同程度的咳血。入院后给予青霉素钠４００万Ｕ +５ %葡萄糖盐水２５０ｍｌ静滴 ,(４０～４５)滴／ｍｉｎ ,每４小时１次，连用…     

儿童钩端螺旋体病的防治

钩端螺旋体病又称“稻热病”或“打谷黄”,是一种由钩端螺旋体引起的自然疫源性急性传染病。本病在我国甚为普遍,除少数省未见报道外,各省市都有发生。由于人体免疫力的差异及菌株型别的不同,其临床表现差异很大,可轻如流感或重至黄疸出血、肝肾功能不全,甚至死亡。     

儿童钩端螺旋体病18例早期诊治体会

我院近5年收治儿童钩端螺旋体病(简称钩体病)18例,其临床表现与成人有所不同,极易因误诊导致死亡。现就其早期诊治体会总结如下。 资料与结果 一、一般资料 本组男12例,女6例,年龄9～14岁,平均年龄11.8岁,均来自农村。     

钩端螺旋体病流行与游泳相关

钩端螺旋体病是由240多种致病性钩端螺旋体血清型引起的一种急性全身性感染,它是动物传染病,人通过直接或间接接触动物的尿液感染。方法以1991年5月15日～8月1日在美国依利诺州某县医院住院有发热而伴有钩端螺旋体病症状、年龄5～60岁且病因不清的病人为疑似病例,同时钩端螺旋体血清凝集效价>1:100。6例患儿中5例来自Dalzell镇,故以该镇与患儿同年级的所有儿童为研究对象,调查这些儿童有无疾病、受好、6～7月常去游泳的地方、动物接触及户外活动和运动项目,初步分析涉及的2个主要游泳区是Stell Tunnel Pond(STP)和Black Bridge Pond(BBP)。     

24例小儿钩端螺旋体病脑动脉炎临床分析

我县地处淮河流域,为钩端螺旋体病流行疫区。此病在我国成人发病率及病死率呈逐年下降,但小儿反而有增多趋势,在小儿主要表现为脑动脉炎型,现将我院1986年至1992年收治的24例小儿钩端螺旋体性脑动脉炎分析如下。     

小儿恶性组织细胞病1例

许某，女，8岁，2003年9月1日主因“发热、面色苍白1周”而以贫血、发热原因待查入院”。患儿于入院前1周无明显诱因出现发热，体温在39℃～41℃间，用解热镇痛药或地塞米松后体温下降，随之再次发热，输先锋霉素、双黄连、清开灵等药均无效，伴面色苍白、     

Leptospirosis in children

Leptospirosis has a broad spectrum of clinical manifestations varying, from inapparent influenza like illness to fulminant fatal disease with hepato-renal dysfunction and hemorrhagic phenomena. Our cases had fever, puffiness, respiratory distress and bleeding diathesis as leading manifestations. Leptospirosis was suspected in view of epidemic situation prevailing in the city. We report four cases here, three of which survived and one died.     

Leptospirosis presenting with erythema nodosum

An illness due to a leptospiral infection in a boy aged 12 years is described which, in addition to presenting with severe fever, malaise, and aseptic meningitis, showed the rare features of severe bradycardia and erythema nodosum.     

Leptospirosis in children in Mumbai slums

Objective : There is limited data available on symptomatic leptospirosis in Indian children. We report an outbreak of leptospirosis that occurred in children living in slums following heavy rainfall and flooding. This hospital — based prospective study was conducted from July to August 2001.Methods : Diagnosis of acute leptospirosis was suspected by following the Indian Leptospirosis Society working definition for leptospirosis. Diagnosis was confirmed by detecting anti —Leptospira antibodies, using either aLeptospira genus — specific latex agglutination assay or a dipstick assay or by a macroscopic slide agglutination test.Result : Thirty (32%) out of 93 children admitted had acute leptospirosis. Fever, bodyache, chills, abdominal pain, headache, vomiting, cough, hepatosplenomegaly, edema and crepitations were the common presenting signs and symptoms. Twenty — two children had anicteric leptospirosis and 8 had Weil disease. Response to penicillin treatment was good in all except in one child with Weil disease who died of renal failure within 3 hours of admission.Conclusion : Leptospirosis has emerged as an infectious disease in Mumbai. During monsoon, parents should ensure that their child does not have contact with the contaminated flood water.     

Leptospirosis in children in Mumbai slums

OBJECTIVE: There is limited data available on symptomatic leptospirosis in Indian children. We report an outbreak of leptospirosis that occurred in children living in slums following heavy rainfall and flooding. This hospital-based prospective study was conducted from July to August 2001. METHODS: Diagnosis of acute leptospirosis was suspected by following the Indian Leptospirosis Society working definition for leptospirosis. Diagnosis was confirmed by detecting anti-Leptospira antibodies, using either a Leptospira genus-specific latex agglutination assay or a dipstick assay or by a macroscopic slide agglutination test. RESULT: Thirty (32%) out of 93 children admitted had acute leptospirosis. Fever, bodyache, chills, abdominal pain, headache, vomiting, cough, hepatosplenomegaly, edema and crepitations were the common presenting signs and symptoms. Twenty - two children had anicteric leptospirosis and 8 had Weil disease. Response to penicillin treatment was good in all except in one child with Weil disease who died of renal failure within 3 hours of admission. CONCLUSION: Leptospirosis has emerged as an infectious disease in Mumbai. During monsoon, parents should ensure that their child does not have contact with the contaminated flood water.