表现为下肢急性骨筋膜室综合征的肺炎球菌败血症：一例报告
Pneumococcal sepsis presenting as acute compartment syndrome of the lower limbs: a case report.
作者信息
Doddi Sudeendra, Singhal Tarun, Sinha Prakash
机构信息
Department of General Surgery, Princess Royal University Hospital, Farnborough Common, Orpington, Greater London, BR6 8ND, UK.
出版信息
J Med Case Rep. 2009 Feb 9;3:55. doi: 10.1186/1752-1947-3-55.
Abstract
INTRODUCTION
Acute compartment syndrome is a surgical emergency requiring immediate fasciotomy. Spontaneous onset of acute compartment syndrome of the lower limbs is rare. We present a very rare case of pneumococcal sepsis leading to spontaneous acute compartment syndrome.
CASE PRESENTATION
A 40-year-old Caucasian man presented as an emergency with spontaneous onset of pain in both legs and signs of compartment syndrome. This was confirmed on fasciotomy. Blood culture grew Streptococcus pneumoniae.
CONCLUSION
Sepsis should be strongly suspected in bilateral acute compartment syndrome of spontaneous onset.
摘要
引言
急性骨筋膜室综合征是一种需要立即进行筋膜切开术的外科急症。下肢急性骨筋膜室综合征自发发作的情况较为罕见。我们报告一例非常罕见的由肺炎球菌败血症导致的自发性急性骨筋膜室综合征病例。
病例介绍
一名40岁的白人男性因双腿突发疼痛及骨筋膜室综合征的体征而急诊入院。筋膜切开术证实了这一诊断。血培养结果显示为肺炎链球菌。
结论
对于自发性发作的双侧急性骨筋膜室综合征，应高度怀疑败血症。
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