PDF(Pubmed)
Abstract：
A term neonate presented with cyanosis from birth, with refractory hypoxaemia despite intubation, administration of 100% oxygen and inhaled nitric oxide. Structural congenital heart disease was excluded. He developed profuse pulmonary haemorrhage at 6 hours of life with worsening hypoxia and was transferred to a paediatric intensive care unit (PICU) for initiation of veno-venous extracorporeal membrane oxygenation (vvECMO). Endotracheal aspirates from both the birth hospital and the PICU were positive for Bacillus cereus, with all other investigations finding no alternative cause for his presentation. Of note, mother was a practising veterinarian raising another potential source of exposure to this pathogen. A full recovery occurred after a total of 5 days of vvECMO, 13 days of ventilation and 20 days of PICU stay.
摘要：
新生儿从出生时就出现紫癜，尽管插管，但难治性低氧血症，100％氧气和吸入一氧化氮的管理。排除结构性先天性心脏病。他在生命的6小时内因缺氧恶化而出现大量肺出血，并被转移到儿科重症监护病房（PICU）开始静脉-静脉体外膜氧合（vvECMO）。出生医院和PICU的气管内抽吸物的蜡样芽孢杆菌阳性，所有其他调查都发现他的陈述没有其他原因。值得注意的是，母亲是一名执业兽医，增加了另一个潜在的接触这种病原体的来源。vvECMO总共5天后完全恢复，通气13天，PICU住院20天。
