Rimawi Bassam H, Soper David E, Eschenbach David A
Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC, USA.
Clin Obstet Gynecol. 2012 Dec;55(4):864-74. doi: 10.1097/GRF.0b013e31827362fc.
Group A streptococcal (GAS) infections continue to be an infrequent, but potentially lethal infections in women despite the victory over childbed fever in the 1800s. Invasive group A streptococcal infection still causes 40% of septic deaths among patients with postpartum endometritis, necrotizing fasciitis, and toxic shock syndrome. Many times symptoms and signs of this infection are nonspecific, but laboratory evaluation can suggest serious infection. The prudent combination of antibiotic and surgical therapy can be lifesaving.
尽管在19世纪战胜了产褥热，但A组链球菌（GAS）感染在女性中仍然是一种罕见但可能致命的感染。侵袭性A组链球菌感染仍然导致产后子宫内膜炎、坏死性筋膜炎和中毒性休克综合征患者中40%的败血症死亡。这种感染的症状和体征很多时候是非特异性的，但实验室检查可以提示严重感染。抗生素和手术治疗的谨慎联合使用可能会挽救生命。
