Pediatric Infection and Vaccine

The Korean Society of Pediatric Infectious Diseases (대한소아감염학회)
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Isolated Sphenoid Sinusitis with Nontypeable Haemophilus influenzae Bacteremia in a Healthy Child

균혈증을 동반한 비피막형 인플루엔자균에 의한 접형동 부비동염 소아 1례

  • Seok, Min Jeong (Department of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Choi, Kyu Young (Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine) ;
  • Shin, Saeam (Department of Laboratory Medicine, Yonsei University College of Medicine) ;
  • Cho, Ky Young (Department of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine)
  • 석민정 (한림대학교 의과대학 강남성심병원 소아청소년과) ;
  • 최규영 (한림대학교 의과대학 이비인후과교실) ;
  • 신새암 (연세대학교 의과대학 진단검사의학교실) ;
  • 조기영 (한림대학교 의과대학 강남성심병원 소아청소년과)
  • Received : 2019.05.08
  • Accepted : 2019.10.01
  • Published : 2020.04.25
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Abstract

Acute bacterial sinusitis is one of the most common diseases in children, and 5-13% of patients with viral upper respiratory infection experience secondary bacterial sinusitis as a complication. Isolated sphenoid sinusitis is rarer than frontal, maxillary, and ethmoid sinusitis. However, it presents potentially devastating complications, such as cranial nerve involvement, brain abscess, and meningitis, owing to its anatomical location. Nontypeable Haemophilus influenzae (NTHi) commonly causes acute bacterial sinusitis but rarely causes bacteremia, particularly in immunocompetent patients. We present a rare case of a 14-year-old boy with bacteremia due to isolated sphenoid sinusitis caused by NTHi.

급성 세균성 부비동염은 소아에서 흔하게 발생하는 질환 중 하나로, 바이러스성 상기도 감염 후 5-13%에서 동반하는 것으로 알려져 있다. 접형동에 국한된 부비동염이 발생할 확률은 모든 부비동염의 3% 미만이나 접형동의 구조적 특성상 주위 조직으로 감염이 전파되면 치명적일 수 있다. 비피막형 인플루엔자균(non-typeable Haemophilus influenzae[NTHi])은 급성 세균성 부비동염의 흔한 원인균이나 정상면역인 환아에서 균혈증으로 파급되는 경우는 매우 드물다. 저자들은 특별한 기저질환이 없는 소아가 발열과 두통으로 내원하여 균혈증을 동반한 NTHi에 의한 편측 접형동에 국한된 부비동염이 확인되어 항생제 및 수술적 치료로 호전된 예를 경험하여 보고하는 바이다.

Keywords

References

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