Ochi Atsuhiko, Naoi Makito, Enatsu Noritoshi, Fujisaki Akira, Funada Satoshi, Suzuki Koichiro, Shiga Naoki, Ota Tomonori, Kuji Hiroshi, Hosokawa Naoto, Iwata Kentaro
Department of Urology, Kameda Medical Center.
Nihon Hinyokika Gakkai Zasshi. 2011 Jul;102(4):644-8. doi: 10.5980/jpnjurol.102.644.
A necrotizing fasciitis especially caused by group A streptococcal infection is a life-threatening disease. This infection cause death due to septic shock and multiple organ failure in a short time without the immediate and adequate treatment. Currently a rapid test kit for streptococcal pharyngitis (strep A) is useful for prediction of group A streptococcal infection. We here demonstrate a 61 years old man's case of life-saved necrotizing fasciitis in genital area (Fournier's gangrene) by group A streptococcus infection, and usefulness of this kit for rapid diagnosis, aggressive debridement, and selection of adequate antibiotics.
一种尤其由A组链球菌感染引起的坏死性筋膜炎是一种危及生命的疾病。这种感染若不立即进行充分治疗,会在短时间内因感染性休克和多器官衰竭导致死亡。目前,一种用于链球菌性咽炎(A组链球菌)的快速检测试剂盒有助于预测A组链球菌感染。在此,我们展示了一例61岁男性因A组链球菌感染导致生殖器区域坏死性筋膜炎(福尼尔坏疽)后获救的病例,以及该试剂盒在快速诊断、积极清创和选择合适抗生素方面的作用。