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Titolo:
The pivotal role of deep vein thrombophlebitis in the development of acutedisseminated staphylococcal disease in children
Autore:
Gorenstein, A; Gross, E; Houri, S; Gewirts, G; Katz, S;
Indirizzi:
Wolfson Med Ctr, Dept Pediat Surg, IL-58100 Holon, Israel Wolfson Med CtrHolon Israel IL-58100 ediat Surg, IL-58100 Holon, Israel Hadassah Univ Hosp, Dept Pediat Surg, IL-91120 Jerusalem, Israel Hadassah Univ Hosp Jerusalem Israel IL-91120 IL-91120 Jerusalem, Israel Meir Gen Hosp, Dept Pediat Surg, Kfar Saba, Israel Meir Gen Hosp Kfar Saba Israel osp, Dept Pediat Surg, Kfar Saba, Israel
Titolo Testata:
PEDIATRICS
fascicolo: 6, volume: 106, anno: 2000,
pagine: NIL_69 - NIL_71
SICI:
0031-4005(200012)106:6<NIL_69:TPRODV>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Keywords:
deep vein thrombophlebitis; disseminated staphylococcal disease; osteomyelitis; pediatric; septic pulmonary emboli;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Gorenstein, A Wolfson Med Ctr, Dept Pediat Surg, IL-58100 Holon, Israel Wolfson Med Ctr Holon Israel IL-58100 -58100 Holon, Israel
Citazione:
A. Gorenstein et al., "The pivotal role of deep vein thrombophlebitis in the development of acutedisseminated staphylococcal disease in children", PEDIATRICS, 106(6), 2000, pp. NIL_69-NIL_71

Abstract

Deep vein thrombophlebitis (DVT) and septic pulmonary emboli (PE) are rarein children. The association of DVT and acute disseminated staphylococcal disease (DSD) during childhood has not been previously reported. We report 3 children who developed a triad of DVT, septic PE, and acute osteomyelitiswith Staphylococcus aureus cultured from blood and bone. One child succumbed, while 2 survived following prolonged, morbid hospitalizations. The rapid clinical deterioration observed in these patients might be caused by the aggressiveness of staphylococcal infection combined with an ongoing showering of septic emboli from the ileo-femoral DVT. We suggest that infected DVTwith septic PE had a pivotal role in the development of DSD in these children. The presence of this triad should prompt aggressive treatment with theappropriate antibiotics, anticoagulation, surgical drainage, and assisted ventilation when indicated.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 18:47:36