A组链球菌坏死性筋膜炎的首次门诊医生会诊

The initial outpatient-physician encounter in group A streptococcal necrotizing fasciitis.

作者信息

Bisno A L, Cockerill F R, Bermudez C T

机构信息

Department of Medicine, University of Miami School of Medicine, and Veterans Affairs Medical Center, Miami, Florida 33125, USA.

出版信息

Clin Infect Dis. 2000 Aug;31(2):607-8. doi: 10.1086/313980.

DOI:10.1086/313980

PMID:10987730

Abstract

Of 15 patients in whom the diagnosis of streptococcal necrotizing fasciitis was missed at initial outpatient evaluation, 8 died. Although influenza-like and gastrointestinal symptoms were common, the most consistent clinical clue was unrelenting pain out of proportion to the physical findings. Necrotizing fasciitis should be considered in patients presenting with the latter complaint, even if there is only mild or no fever or erythema.

摘要

在初次门诊评估时漏诊为链球菌性坏死性筋膜炎的15例患者中，有8例死亡。虽然流感样症状和胃肠道症状很常见，但最一致的临床线索是疼痛持续存在且与体格检查结果不相称。即使患者仅有低热或无发热、无红斑，对于有上述主诉的患者也应考虑坏死性筋膜炎。