Berthod D, Mühlemann K, Oestmann A
Universitätsklinik für Allgemeine Innere Medizin, Inselspital, Universitätsspital Bern, Germany.
Praxis (Bern 1994). 2010 Jun 9;99(12):733-5. doi: 10.1024/1661-8157/a000161.
We report the case of a 24-years old diabetic women hospitalised because of right-sided lower abdominal pain and diarrhea. She fulminantly developed shock before appendectomy could be performed and was transferred to intensive care unit. Hypotension remained and laparoscopy revealed primary peritonitis and toxic shock syndrome by Group A Streptococcus which was cultivated in blood and ascites. Therapy with penicilline and clindamycine resolved symptoms. During hospitalisation Clostridium difficile colitis occurred. This complication leaded to prolonged hospitalisation.
我们报告了一名24岁糖尿病女性的病例，她因右侧下腹部疼痛和腹泻入院。在进行阑尾切除术之前，她迅速出现休克，并被转入重症监护病房。低血压持续存在，腹腔镜检查显示为A组链球菌引起的原发性腹膜炎和中毒性休克综合征，血液和腹水中培养出该病菌。青霉素和克林霉素治疗使症状得到缓解。住院期间发生了艰难梭菌结肠炎。这一并发症导致住院时间延长。
