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念珠菌败血症在临床上较少见,我科于1985～1986年间收治新生儿败血症45例,其中3例为念珠菌败血症,均被误诊,现报告如下。例1.患儿男,10天。第1胎,8月产。因挑“马牙”后出现不规则发热,精神及食欲差,大便呈稀糊状5天,诊断新生儿败血症入院。体检:体温36℃,脉搏124次/分,呼吸30次/分。神萎,皮肤轻度黄染。心肺正常,腹软,脐部有少量脓性分泌物。红细胞4.60×10~(12)/L,血红蛋白132g/L,白细胞25.6×10~9/L,中性80%,淋巴20%。便培养有念珠菌生长。
Candida sepsis is clinically rare, my department in 1985 to 1986 45 cases of neonatal sepsis, of which 3 cases of Candida septicemia, were misdiagnosed, are as follows. Example 1. Children male, 10 days. The first child, August production. Due to pick “horse teeth” after irregular fever, poor mental and appetite, stool was thin paste for 5 days, the diagnosis of neonatal sepsis admission. Physical examination: body temperature 36 ℃, pulse 124 beats / min, breathing 30 beats / min. Shen Wei, the skin mild yellow dye. Normal cardiopulmonary, abdominal soft, umbilical a small amount of purulent secretions. Erythrocytes 4.60 × 10-12 / L, hemoglobin 132g / L, white blood cells 25.6 × 10 ~ 9 / L, 80% neutral, lymphatic 20%. Candida growth will be cultured.