Autor: |
Kevin M. Riggle, Jessica L. Davis, George T. Drugas, Kimberly J. Riehle |
Jazyk: |
angličtina |
Rok vydání: |
2016 |
Předmět: |
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Zdroj: |
Journal of Pediatric Surgery Case Reports, Vol 14, Iss C, Pp 29-31 (2016) |
Druh dokumentu: |
article |
ISSN: |
2213-5766 |
DOI: |
10.1016/j.epsc.2016.08.007 |
Popis: |
Necrotizing enterocolitis (NEC) is most often a disease of preterm infants, but can develop in full term infants with gastroschisis. The latter cases typically present later and have a milder clinical course; we present the first case of fatal Clostridium perfringes-associated NEC in a full term infant with gastroschisis. Our case highlights the need for a high index of clinical suspicion for Clostridial NEC when there is rapid progression of disease and/or evidence of hemolysis. When Clostridial NEC is suspected, we recommend treatment with penicillin G and clindamycin, as well as prompt, aggressive surgical intervention. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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