妊娠医学终止后引起坏死性筋膜炎和中毒性休克综合征的A组链球菌。
Group a Streptococcus causing necrotizing fasciitis and toxic shock syndrome after medical termination of pregnancy.
作者信息
Daif Jennifer Linda, Levie Mark, Chudnoff Scott, Kaiser Bente, Shahabi Shohreh
机构信息
From the Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.
出版信息
Obstet Gynecol. 2009 Feb;113(2 Pt 2):504-506. doi: 10.1097/AOG.0b013e3181834626.
BACKGROUND
Group A Streptococcus is an aerobic gram-positive bacteria known to cause cutaneous infections. Invasive infections can lead to toxic shock syndrome with multiorgan failure and mortality rates of 25-48%.
CASE
A healthy, young woman developed necrotizing fasciitis, myonecrosis, and toxic shock syndrome after an elective medical termination of pregnancy. This patient had confirmed group A Streptococcus on blood cultures and underwent surgical debridement. After aggressive surgical treatment, below-the-knee amputation, and antibiotic therapy, the patient survived.
CONCLUSION
This case demonstrates the need for prompt recognition and treatment of necrotizing fasciitis/toxic shock syndrome.
背景
A 组链球菌是一种需氧革兰氏阳性细菌，已知可引起皮肤感染。侵袭性感染可导致中毒性休克综合征，伴有多器官功能衰竭，死亡率为 25%至 48%。
病例
一名健康的年轻女性在选择性人工终止妊娠后发生了坏死性筋膜炎、肌坏死和中毒性休克综合征。该患者血培养确诊为 A 组链球菌感染，并接受了手术清创。经过积极的手术治疗、膝下截肢和抗生素治疗，患者存活下来。
结论
本病例表明需要及时识别和治疗坏死性筋膜炎/中毒性休克综合征。
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