Rare case of disseminated neonatal zygomycosis mimicking necrotizing enterocolitis with necrotizing fasciitis

被引：11

作者：

Inoue, Seiichiro ^{[1
]}

Odaka, Akio ^{[1
]}

Hashimoto, Daijo ^{[1
]}

Hoshi, Reiichi ^{[2
]}

Kurishima, Clara ^{[2
]}

Kunikata, Tetsuya ^{[2
]}

Sobajima, Hisanori ^{[2
]}

Tamura, Masanori ^{[2
]}

Tamaru, Junichi ^{[3
]}

机构：

[1] Saitama Med Univ, Dept Hepatobilliary Pancreat & Pediat Surg, Saitama Med Ctr, Kawagoe, Saitama 3508550, Japan

[2] Saitama Med Univ, Dept Pediat, Saitama Med Ctr, Kawagoe, Saitama 3508550, Japan

[3] Saitama Med Univ, Dept Pathol, Saitama Med Ctr, Kawagoe, Saitama 3508550, Japan

来源：

JOURNAL OF PEDIATRIC SURGERY | 2011年 / 46卷 / 10期

关键词：

Gastrointestinal zygomycosis; Necrotizing enterocolotis (NEC); Very-low-birth-weight (VLBW) infant; Necrotizing fasciitis; MUCORMYCOSIS; CELLULITIS; CHILDREN; INFANT;

D O I：

10.1016/j.jpedsurg.2011.06.018

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

A set of monochorionic male twins presented with intestinal perforation. The smaller twin was diagnosed with necrotizing enterocolitis followed by sepsis, disseminated intravascular coagulation, and necrotizing fasciitis of the abdominal wall. The infant died on the fourth day after surgery, 16 days after birth. Surgical specimens and autopsy revealed a disseminated zygomycotic infection. Gastrointestinal zygomycosis followed by necrotizing fasciitis in premature infants is a rare condition and mimics necrotizing enterocolitis clinically. Necrotizing fasciitis after gastrointestinal zygomycosis in premature infants is considered a poor prognostic sign. Gastrointestinal zygomycosis should be considered in the differential diagnosis of necrotizing enterocolitis. (C) 2011 Elsevier Inc. All rights reserved.

引用

页码：E29 / E32

页数：4

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