Losanoff Julian E, Missavage Anne E, Linneman Paul, Terry Boyd E
Department of Surgery, Wayne State University, Detroit, MI, USA.
J Emerg Med. 2011 Jan;40(1):e11-3. doi: 10.1016/j.jemermed.2007.11.008. Epub 2008 Mar 4.
Remote necrotizing soft tissue infection (NSTI) resulting from paronychia is very unusual but potentially lethal. We report a case of a 39-year-old woman affected by this unusual infection. The paronychia completely resolved in less than 2 weeks, however, a NSTI involved the right chest and flank and the left thigh. The patient required intensive care and multiple surgical debridements. This recent experience and literature data suggest that paronychia can cause a remote NSTI that can rapidly spread and become life-threatening. Broad spectrum antibiotics and aggressive surgical debridement are essential to a successful outcome.
甲沟炎引发的远隔性坏死性软组织感染（NSTI）非常罕见但可能致命。我们报告一例受这种罕见感染影响的39岁女性病例。甲沟炎在不到2周内完全消退，然而，NSTI累及右胸和侧腹以及左大腿。患者需要重症监护和多次手术清创。近期的这一经验和文献数据表明，甲沟炎可导致远隔性NSTI，其可迅速扩散并危及生命。广谱抗生素和积极的手术清创对于取得成功的治疗结果至关重要。
