Chalmers C
Department of Anaesthesia, Crosshouse Hospital, Kilmarnock, Scotland, UK.
J Laryngol Otol. 2010 Jul;124(7):807-9. doi: 10.1017/S0022215109992076. Epub 2009 Nov 23.
To present the first reported case of Haemophilus influenzae type b epiglottitis leading to necrotising fasciitis.
Case report and review of the literature regarding the association of necrotising fasciitis with Haemophilus influenzae infection and with epiglottitis.
A previously well, 64-year-old woman presented with epiglottitis, and subsequently developed necrotising fasciitis of her chest wall. The cause of both infections was Haemophilus influenzae serotype b. This organism has frequently been implicated in epiglottitis, but has not previously been reported to cause simultaneous necrotising fasciitis. The patient became critically ill, requiring intensive care management, but following surgical debridement and antibiotic treatment she made a full recovery.
Although increasingly uncommon, clinicians must continue to be proficient in the diagnosis and management of epiglottitis, and to be aware of its full range of possible complications. This case report highlights a previously unknown and potentially fatal complication of Haemophilus influenzae type b epiglottitis.
报告首例由b型流感嗜血杆菌引起会厌炎并导致坏死性筋膜炎的病例。
病例报告并回顾关于坏死性筋膜炎与流感嗜血杆菌感染及会厌炎相关性的文献。
一名64岁既往健康的女性出现会厌炎，随后发展为胸壁坏死性筋膜炎。两种感染均由b型流感嗜血杆菌引起。该病原体常与会厌炎有关，但此前未见有导致同时发生坏死性筋膜炎的报道。患者病情危重，需要重症监护治疗，但经手术清创和抗生素治疗后完全康复。
尽管越来越不常见，但临床医生仍必须熟练掌握会厌炎的诊断和管理，并了解其所有可能的并发症。本病例报告突出了b型流感嗜血杆菌会厌炎一种此前未知且可能致命的并发症。
