Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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진공분만으로 출생한 신생아에서 발생한 Achromobacter xylosoxidans에 의한 두피 농양 1례

A case of scalp abscess caused by Achromobacter xylosoxidans after vacuum delivery

  • 박은영 (윤호병원 소아과) ;
  • 권문경 (한림대학교 의과대학 소아과학교실) ;
  • 민선정 (한림대학교 의과대학 진단방사선학교실) ;
  • 황형식 (한림대학교 의과대학 신경외과학교실)
  • Park, Eun-Young (Department of Pediatrics, Yoon Ho Hospital) ;
  • Kwon, Moon-Kyung (Department of Pediatrics, College of Medicine, Hallym University) ;
  • Min, Seon-Jeong (Department of Radiology, College of Medicine, Hallym University) ;
  • Hwang, Hyung-Sik (Department of Neurosurgery, College of Medicine, Hallym University)
  • 투고 : 2005.10.05
  • 심사 : 2005.12.06
  • 발행 : 2006.04.15
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초록

Achromobacter xylosoxidans는 호기성 그람음성균으로 면역 저하자와 신생아에서 기회감염을 일으킬 수 있다. 신생아에서 두피 농양은 주로 태아 감시의 합병증으로 발생하고 대개 여러 균감염이 된다. 저자들은 진공분만으로 출생 후 두피 농양이 발생하였고 Achromobacter xylosoxidans가 배양된 1례를 경험하여 보고하는 바이다.

Achromobacter xylosoxidans is an aerobic gram-negative bacillus that may cause opportunistic infections in immunocompromized patients and newborns. Neonatal scalp abscess is generally a complication of fetal scalp monitoring and is typically polymicrobial. We present a case of a newborn, delivered by vacuum extraction, who developed a scalp abscess that yielded growth of Achromobacter xylosoxidans.

키워드

참고문헌

  1. Cordero L Jr, Hon EH. Scalp abscess : a rare complication of fetal monitoring. J Pediatr 1971;78:533-7 https://doi.org/10.1016/S0022-3476(71)80243-3
  2. Okada DM, Chow AW, Bruce VT. Neonatal scalp abscess and fetal monitoring; factors associated with infection. Am J Obstet Gynecol 1977;129:185-9 https://doi.org/10.1016/0002-9378(77)90742-6
  3. Hutchins CJ. Scalp infection after fetal monitoring in labour. N Z Med J 1978;87:390-2
  4. Brook I, Frazier EH. Microbiology of scalp abscess in newborns. Pediatr Infect Dis J 1992;11:766-8 https://doi.org/10.1097/00006454-199209000-00018
  5. Legrand C, Anaissie E. Bacteremia due to Achromobacter xylosoxidans in patients with cancer. Clin Infect Dis 1992;14:479-84 https://doi.org/10.1093/clinids/14.2.479
  6. Foley JF, Gravelle CR, Englehaed WE, Chin TDY. Achromobacter septicemia fatalities in prematures. Am J Dis Child 1961;101:279-87 https://doi.org/10.1001/archpedi.1961.04020040007003
  7. Sindu SS. Achromobacter meningits in the newborn. J Singapore Pediatr Soc 1971;13:31-6
  8. Lee SL, Tan KL. Achromobacter meningitis in the newborn. Singapore Med J 1972;13:261-5
  9. Namnyak SS, Holmes B, Fathalla SE. Neonatal meningitis caused by Achromobacter xylosoxidans. J Clin Microbiol 1985;22:470-1
  10. Igra-Siegman Y, Chmel H, Cobbs C. Clinical and laboratory characteristics of Achromobacter xylosoxidans infection. J Clin Microbiol 1980;11:141-5
  11. Sepkowitz DV, Bostice DE, Maslow MJ. Achromobacter xylosoxidans meningitis : case report and review of the literature. Clin Pediatr 1987;26:483-5 https://doi.org/10.1177/000992288702600912
  12. Appelbaum PC, Campbell DB. Pancreatic abscess associated with Achromobacter group ${\gamma}$ biovar 1. J Clin Microbiol 1980;12:282-3
  13. Dworzack DL, Murray CM, Hodges GR, Barnes WG. Community acquired bacteremic Achromobacter xylosoxidans type IIIa pneumonia in a patient with idiopathic IgM deficiency. Am J Clin Pathol 1978;70:712-7 https://doi.org/10.1093/ajcp/70.4.712
  14. Hoddy DM, Barton LL. Puncture wound-induced Achromobacter xylosoxidans osteomyelitis of the foot. AJDC 1991;145:599-600
  15. Han YS, Chung IY, Park JM. A case of Achromobacter xylosoxidans endophthalmitis after cataract extraction. J Korean Opthalmol Soc 2005;46:186-9