Zubaidah A W, Lim V K
Department of Medical Microbiology and Immunology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur.
Med J Malaysia. 1996 Mar;51(1):134-6.
A 31-year-old Pakistani man was admitted to hospital after sustaining a Grade I compound fracture of the mid-shaft of the left tibia and fibula following a motor vehicle accident. He developed septicaemic shock, acute renal failure and Group A streptococcal necrotizing fasciitis of the left leg. The patient underwent an above knee amputation followed by disarticulation of the left hip with extensive debridement. He was treated with benzylpenicillin, vancomycin, inotropes and continuous haemodialysis and survived without further sequelae. Subsequently, skin grafting was done over the wound site. This case highlights the role of Group A streptococcus as a cause of this rare and life-threatening infection.
一名31岁的巴基斯坦男子在机动车事故后，左侧胫腓骨中段发生I级开放性骨折，随后入院治疗。他出现了败血症性休克、急性肾衰竭以及左腿A组链球菌坏死性筋膜炎。患者接受了膝上截肢手术，随后进行了左髋关节离断术并广泛清创。他接受了苄星青霉素、万古霉素、血管活性药物和持续血液透析治疗，最终存活下来且没有留下进一步的后遗症。随后，在伤口部位进行了皮肤移植。该病例突出了A组链球菌作为这种罕见且危及生命的感染病因的作用。
