1개월된 소아에서의 Salmonella Group D에 의한 장염 및 패혈증이 동반된 음낭내 농양 1례

A Case of Scrotal Abscess Associated with Gastroenteritis and Sepsis due to Salmonella Group D in a One Month Old Infant

  • 최유선 (한양대학교 의과대학 소아과학교실) ;
  • 정윤숙 (한양대학교 의과대학 소아과학교실) ;
  • 김선일 (한양대학교 의과대학 비뇨기과학교실) ;
  • 오성희 (한양대학교 의과대학 소아과학교실)
  • Choi, You Sun (Department of Pediatrics, College of Medicine, Hanyang University) ;
  • Jung, Yoon Suk (Department of Pediatrics, College of Medicine, Hanyang University) ;
  • Kim, Sun Il (Department of Urology, College of Medicine, Hanyang University) ;
  • Oh, Sung Hee (Department of Pediatrics, College of Medicine, Hanyang University)
  • 투고 : 2003.01.20
  • 심사 : 2003.04.10
  • 발행 : 2003.06.15

초록

저자들은 salmonella group D로 인한 장염 및 패혈증이 동반된 음낭내 농양을 진단하여 항생제와 절개 및 배농으로 치료한 1례를 경험하였기에 보고하는 바이다.

Acute gastroenteritis due to Salmonella species, which usually improves on conservative treatment, can progress to sepsis and extraintestinal focal infection in very young infants. Frequent sites for extraintestinal infections are meninges, bone, joints, spleen and intravascular sites but scrotal abscess due to salmonella in children has been very rare. Literature search revealed only one newborn case of scrotal abscess with bacteremia due to salmonella group D which developed after circumcision. We, herein, report a 42 day old infant who initally presented with diarrhea that progressed to sepsis and scrotal abscess. Despite the use of susceptible antibiotics, the patient improved only after surgical drainage.

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