Department of Orthopedic Surgery, Konkuk University School of Medicine, Chungju, Korea.
Clin Orthop Surg. 2010 Dec;2(4):256-9. doi: 10.4055/cios.2010.2.4.256. Epub 2010 Nov 5.
Necrotizing fasciitis (NF) is a deep infection of the subcutaneous tissue that progressively destroys fascia and fat; it is associated with systemic toxicity, a fulminant course, and high mortality. NF most frequently develops from trauma that compromises skin integrity, and is more common in patients with predisposing medical conditions such as diabetes mellitus, atherosclerosis, alcoholism, renal disease, liver disease, immunosuppression, malignancy, or corticosteroid use. Most often, NF is caused by polymicrobial pathogens including aerobic and anaerobic bacteria. NF caused by Staphylococcus aureus as a single pathogen, however, is rare. Here we report a case of NF that developed in a healthy woman after an isolated shoulder sprain that occurred without breaking a skin barrier, and was caused by Staphylococcus aureus as a single pathogen.
坏死性筋膜炎（NF）是一种皮下组织的深部感染，逐渐破坏筋膜和脂肪；它与全身毒性、暴发性病程和高死亡率有关。NF 最常由损害皮肤完整性的创伤引起，在有糖尿病、动脉粥样硬化、酗酒、肾病、肝病、免疫抑制、恶性肿瘤或皮质类固醇使用等易患医学条件的患者中更为常见。大多数情况下，NF 是由需氧菌和厌氧菌等多种微生物病原体引起的。然而，由金黄色葡萄球菌单一病原体引起的 NF 却很少见。在此，我们报告了一例 NF 病例，该病例发生在一位健康女性身上，其孤立性肩扭伤并未破坏皮肤屏障，且由金黄色葡萄球菌单一病原体引起。
