Pediatric Infection and Vaccine

  • 제26권3호
  • /
  • Pages.194-198
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  • 2019
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  • 2384-1079(pISSN)
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  • 2384-1087(eISSN)
대한소아감염학회 (The Korean Society of Pediatric Infectious Diseases)
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Streptococcus dysgalactiae subspecies dysgalactiae와 Herpes Simplex Virus에 의한 신생아 수막염 1예

A Case of Neonatal Meningitis Caused by Streptococcus dysgalactiae subspecies dysgalactiae and Herpes Simplex Virus

  • 임지예 (가톨릭대학교 의과대학 소아과학교실 인천성모병원) ;
  • 박윤선 (가톨릭대학교 의과대학 소아과학교실 인천성모병원) ;
  • 김민성 (가톨릭대학교 의과대학 소아과학교실 인천성모병원) ;
  • 김기환 (가톨릭대학교 의과대학 소아과학교실 인천성모병원) ;
  • 김상용 (가톨릭대학교 의과대학 소아과학교실 인천성모병원) ;
  • 정승연 (가톨릭대학교 의과대학 소아과학교실 인천성모병원)
  • Im, Geeyae (Department of Pediatrics, College of Medicine, The Catholic University of Korea, Incheon St. Mary's Hospital) ;
  • Park, Yoonseon (Department of Pediatrics, College of Medicine, The Catholic University of Korea, Incheon St. Mary's Hospital) ;
  • Kim, Minsung (Department of Pediatrics, College of Medicine, The Catholic University of Korea, Incheon St. Mary's Hospital) ;
  • Kim, Ki Hwan (Department of Pediatrics, College of Medicine, The Catholic University of Korea, Incheon St. Mary's Hospital) ;
  • Kim, Sang Yong (Department of Pediatrics, College of Medicine, The Catholic University of Korea, Incheon St. Mary's Hospital) ;
  • Chung, Seung Yun (Department of Pediatrics, College of Medicine, The Catholic University of Korea, Incheon St. Mary's Hospital)
  • 투고 : 2018.10.10
  • 심사 : 2019.05.21
  • 발행 : 2019.12.25
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초록

Streptococcus dysgalactiae subsp. dysgalactiae (SDSD)에 의한 사람 감염병을 보고한 사례가 많지 않으며, S. dysgalactiae subsp. equisimilis (SDSE)에 의한 감염병이 대부분이다. 저자들은 생후 22일 된 신생아에서 SDSD와 단순포진 바이러스의 동시감염에 의한 수막염을 경험하였으며, 뇌경색 및 경막하삼출 등이 합병되어 총 4주간의 항균제를 투여하고 치료를 완료하였다. 본 증례의 원인 균주가 소아의 침습감염의 원인으로 알려진 바가 없으나, 오염된 동물을 통한 감염 뿐 아니라, 돌발 감염의 원인균이 될 수 있을 것으로 생각되어 1예를 보고하는 바이다.

Streptococcus dysgalactiae has two main subspecies: S. dysgalactiae subsp. equisimilis (SDSE) and S. dysgalactiae subsp. dysgalactiae (SDSD). SDSE often colonizes and causes infections in humans; however, SDSD is an animal pathogen which often causes pyogenic infection in domestic animals. We present a case of meningitis with SDSD and herpes simplex virus in a 22-day-old newborn baby who had no exposure to animals.

키워드

참고문헌

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