A组链球菌引起的危及生命的产褥期感染。

Life-threatening puerperal infection due to group A streptococci.

作者信息

Silver R M, Heddleston L N, McGregor J A, Gibbs R S

机构信息

Department of Obstetrics and Gynecology, University of Colorado Health Sciences Center, Denver.

出版信息

Obstet Gynecol. 1992 May;79(5 ( Pt 2)):894-6.

PMID:1565401

Abstract

We describe two patients with life-threatening puerperal infection due to group A beta-hemolytic streptococcus. Each patient had bacteremia, shock, and multi-organ involvement. Both cases were compatible with a recently described streptococcal toxic shock-like illness. Both women failed to improve despite vigorous medical and antibiotic therapies, and each required hysterectomy. Obstetricians should be alert to the importance of early diagnosis and treatment of this potentially lethal infection.

摘要

我们描述了两名因A组β溶血性链球菌导致危及生命的产褥感染患者。每位患者均有菌血症、休克及多器官受累。这两例均符合最近描述的链球菌中毒性休克样疾病。尽管进行了积极的药物和抗生素治疗，两名女性病情均未改善，且每人都需要进行子宫切除术。产科医生应警惕这种潜在致命感染的早期诊断和治疗的重要性。