[Abdominal aortic-iliac thrombosis as a complication of newborn's bacterial sepsis].
A case of Group B Streptococcus sepsis is reported in a male newborn with a renal vascular hypertension. An abdominal Doppler examination revealed aortic thrombosis extending from renal to the common iliac arteries. Prolonged broad spectrum antibiotic therapy and fibrinolytic treatment combined with surgical thrombectomy were used, at last obtaining improvement of general patient condition. The infant's hypertension resolved and reperfusion of the right kidney and urine output resumed. Ultrasound examination at 4th month showed presence of collateral circulation to arteries providing right lower limb. Patient's long-term out come is still under control of Outpatient Department of Vascular Surgery.
Szymankiewicz
Marta
M
Katedra i Klinika Neonatologii AM im. Karola Marcinkowskiego w Poznaniu. mszymank@gpsk.am.poznan.pl
Oszkinis
Grzegorz
G
Uchman
Jolanta
J
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D006978:Hypertension, Renovascular / Q000150:complications; D007083:Iliac Artery; D007231:Infant, Newborn; D008297:Male; D012078:Renal Artery Obstruction / Q000150:complications; D013290:Streptococcal Infections / Q000150:complications* / Q000382:microbiology; D013292:Streptococcus agalactiae / Q000302:isolation & purification*; D017131:Thrombectomy; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000382:microbiology* / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents