[β溶血性链球菌所致产褥期败血症休克与华-佛综合征]

[Puerperal septic shock due to beta-hemolytic Streptococcus and Waterhouse-Friderichsen syndrome].

作者信息

Araújo Stanley de Almeida, Lana Ana Maria Arruda, Garcia Paula Piedade, Godoy Pérsio

机构信息

Departamento de Anatomia Patológica e Medicina Legal, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG.

出版信息

Rev Soc Bras Med Trop. 2009 Jan-Feb;42(1):73-6. doi: 10.1590/s0037-86822009000100015.

DOI:10.1590/s0037-86822009000100015

PMID:19287940

Abstract

An exceptional case of a 15-year-old puerpera with septic shock caused by Group A beta-hemolytic Streptococcus and Waterhouse-Friderichsen syndrome is reported. The findings were observed at the necropsy. The characteristics of the diagnosis, pathogenesis and evolution of this puerperal infection (sepsis), associated with adrenal hemorrhage and insufficiency are reviewed in this paper.

摘要

报告了一例15岁产妇的特殊病例，该产妇因A组β溶血性链球菌感染导致感染性休克，并伴有华-佛综合征。这些发现是在尸检时观察到的。本文回顾了这种产褥感染（败血症）的诊断、发病机制和演变特征，其与肾上腺出血和功能不全相关。