降钙素原
呼吸道感染
C反应蛋白
医学
呼吸道
门诊部
呼吸系统
上呼吸道感染
儿科
免疫学
生物信息学
内科学
炎症
生物
败血症
作者
Andres Perez-Lopez,Adam Irwin,Carlos Rodrigo,Cristina Prat
出处
期刊:BMJ
[BMJ]
日期:2021-06-11
卷期号:: n1409-n1409
被引量:3
摘要
### What you need to know
A previously healthy and fully vaccinated (including 13-valent pneumococcal conjugate vaccine) 22 month old boy is brought to the emergency department because of a 12 hour history of high fever (up to 40°C). He had had low grade fever, runny nose, cough, and decreased oral intake for the past two days. On examination, he did not look severely ill but was febrile (38.3°C). His respiratory rate was 45 breaths/minute (normal range 25-40 breaths/min at 18-24 months old), heart rate was 140 beats/minute (normal range 98-135 beats/min at 18-24 months), and blood oxygen level was 95%. Although breath sounds were not decreased, some bibasilar crackles were noted on chest auscultation. A chest x ray was interpreted as having bilateral peribronchial infiltrates and haziness in the right lower lobe. To aide their decision whether to initiate antibiotic therapy, clinicians requested blood tests, which revealed a white blood cell count of 22.5×109/L (60.0% neutrophils), a CRP of 30 mg/L (normal <5 mg/L), and a PCT of 0.25 μg/L (normal <0.5 μg/L).
Lower respiratory tract infections (LRTIs) in childhood are commonly of viral aetiology. Distinguishing viral from bacterial LRTI in children—and thus appropriately …
科研通智能强力驱动
Strongly Powered by AbleSci AI