Journal of Clinical Pediatrics ›› 2024, Vol. 42 ›› Issue (8): 728-736.doi: 10.12372/jcp.2024.23e1225
• Pediatric Grand Rounds • Previous Articles Next Articles
HUANG Shiyu1, WANG Wei1, ZHU Diqi2, SHEN Jie2, CAO Qing1()
Received:
2023-12-26
Online:
2024-08-15
Published:
2024-08-06
HUANG Shiyu, WANG Wei, ZHU Diqi, SHEN Jie, CAO Qing. Treatment and reflection of infective endocarditis caused by methicillin-resistant Staphylococcus aureus in children after complex congenital heart disease[J].Journal of Clinical Pediatrics, 2024, 42(8): 728-736.
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时 间 | 临床表现及检查、抗菌药物治疗情况 |
---|---|
入院前2个月 | 患儿因先天性心脏病于外院行改良体-肺循环分流术(B-T分流术) |
入院前1个月 | 反复发热,三次血培养示MRSA, |
外院先后予哌拉西林他唑巴坦、万古霉素、达托霉素治疗,体温控制不佳 | |
入院前半天 | 高热,精神不佳,血压下降,氧合不能维持 |
入院时 | 体格检查:T36℃,HR140次/分,RR22次/分,BP72/42 mmHg,体重13 kg,精神欠佳,口唇发绀,二尖瓣面容,鼻导管(2 L/分)吸氧下经皮血氧饱和度70 %,四肢末端凉,可见杵状指。 |
血常规:WBC14.79×109/L,PLT96×109/L,中性粒细胞百分比96.8 % | |
感染炎症指标:SAA395.09 mg/L,CRP84.3 mg/L,PCT>100.00 ng/mL | |
心肌损伤标记物:pro-BNP 35 000 pg/mL,cTNI-Ⅰ 0.12 μg/L | |
肝肾功能:钠128.0 mmol/L,ALT 86 U/L,AST 203 U/L,LDH 764U/L | |
血培养:革兰阳性球菌 | |
影像学:胸部CT提示右位主动脉弓,左右支气管反位,左肺感染,骨密度欠均匀。 | |
彩色多普勒超声心动图:B-T管道无明显梗阻,主动脉端内径约0.37 cm,左向右分流速2.64 m/s。 | |
治疗:美罗培南500 mg q8h ivgtt+万古霉素200 mg q8h ivgtt+氟氯西林钠200 mgq8h ivgtt+利奈唑胺130 mg q8h ivgtt | |
入院第2天 | 复查WBC、PLT下降,停用利奈唑胺及氟氯西林钠 |
入院第10天 | 患儿热退,生命体征平稳,CRP、pro-BNP 下降,血培养阴性 |
美罗培南降级为头孢他啶0.65g q8h ivgtt | |
入院第30天 | 血氧饱和度下降至45 %,次日体温38℃,连续两次血培养提示MRSA |
彩色多普勒超声心动图提示:B-T管道束宽降低(内径0.3 cm),流速减慢(1.85 m/s) | |
加用利奈唑胺0.14 g q8h po | |
入院第40天 | 面罩吸氧下氧合不能维持,予气管插管,呼吸机辅助通气 |
万古霉素加量至225mg q8h ivgtt | |
入院第43天 | 心率30~40 次/分,血压33/24 mmHg,急诊手术,赘生物培养阴性 |
(手术) | 术后予万古霉素225 mg q8h ivgtt+利奈唑胺0.14 g q8h po |
术后第1天 | PLT下降至30×109/L,停用利奈唑胺,予头孢他啶0.75 g q8h ivgtt |
术后第4天 | 复查感染指标较前升高,美罗培南300 mg q8h ivgtt+万古霉素225 mg q8h ivgtt |
术后第20天 | 间断低热1周,感染指标进行性升高,血、尿培养阴性 |
万古霉素药物浓度9.70 mg/L | |
康替唑胺200 mg q12h po +万古霉素225 mg q8h ivgtt | |
术后第29天 | 感染指标正常,停用万古霉素 |
术后第38天 | 带药出院 |
出院后1个月 | 停用康替唑胺 |
出院后6个月 | 体温平稳,血常规、感染指标、肝肾功能正常 |
彩色多普勒超声心动图提示管道通畅,无赘生物 |
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