Amitai Allon, Sinert Richard
Department of Emergency Medicine, Rhode Island Hospital, Brown Medical School, Providence, Rhode Island 02903, USA.
J Emerg Med. 2008 Jan;34(1):37-40. doi: 10.1016/j.jemermed.2007.03.048. Epub 2007 Aug 29.
Infections of the retroperitoneal space may present with insidiously vague symptoms and non-specific clinical signs. We report a case of a retroperitoneal abscess presenting as necrotizing fasciitis of the thigh from direct spread over the iliac crest. In cases of necrotizing fasciitis of the thigh with no obvious source, an intra-abdominal nidus of infection may be considered.
腹膜后间隙感染可能表现为隐匿性模糊症状和非特异性临床体征。我们报告一例腹膜后脓肿,其通过直接蔓延至髂嵴而表现为大腿坏死性筋膜炎。对于无明显病因的大腿坏死性筋膜炎病例,应考虑腹腔内感染病灶。