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Primary group A streptococcal septic shock syndrome simulating perforated appendicitis in a previously healthy girl.一名既往健康的女孩出现原发性A组链球菌败血症性休克综合征，临床表现类似穿孔性阑尾炎。
BMJ Case Rep. 2013 May 4;2013:bcr2013009502. doi: 10.1136/bcr-2013-009502.
2
Fulminant group A streptococcal infections. Report of two cases.暴发性A组链球菌感染。两例报告。
Klin Wochenschr. 1990 Apr 17;68(8):427-30. doi: 10.1007/BF01648585.
3
Group A Streptococcal Peritonitis and Toxic Shock Syndrome in a Postmenopausal Woman.一名绝经后女性的A组链球菌性腹膜炎和中毒性休克综合征
Intern Med. 2017 Sep 15;56(18):2523-2527. doi: 10.2169/internalmedicine.8552-16. Epub 2017 Aug 21.
4
[Right-sided lower abdominal pain and diarrhea of a young diabetic woman].[一位年轻糖尿病女性的右下腹痛和腹泻]
Praxis (Bern 1994). 2010 Jun 9;99(12):733-5. doi: 10.1024/1661-8157/a000161.
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Primary peritonitis due to group A streptococcus.A组链球菌所致原发性腹膜炎
J Clin Gastroenterol. 2000 Apr;30(3):332-5. doi: 10.1097/00004836-200004000-00030.
6
[Diarrhea and peritonitis in infection caused by type A beta hemolytic streptococcus].
Helv Chir Acta. 1994 Dec;60(6):931-4.
7
Severe group A streptococcal toxic shock syndrome presenting as primary peritonitis: a case report and brief review of the literature.严重 A 组链球菌中毒性休克综合征表现为原发性腹膜炎：病例报告及文献复习。
Int J Infect Dis. 2010 Sep;14 Suppl 3:e208-12. doi: 10.1016/j.ijid.2009.07.014. Epub 2009 Nov 13.
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Primary group A streptococcal peritonitis in a previously healthy child.一名既往健康儿童发生的原发性A组链球菌性腹膜炎。
Pediatr Infect Dis J. 2012 May;31(5):542-3. doi: 10.1097/INF.0b013e31824f1b0d.
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Unusual primary peritonitis due to Streptococcus pyogenes in a young healthy woman.年轻健康女性因酿脓链球菌引起的非典型原发性腹膜炎。
J Korean Med Sci. 2012 May;27(5):553-5. doi: 10.3346/jkms.2012.27.5.553. Epub 2012 Apr 25.
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A rare case of primary group A streptococcal peritonitis.
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Group A Streptococcus Primary Peritonitis in Children, New Zealand.新西兰儿童 A 组链球菌原发性腹膜炎。
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Peritonitis caused by group A streptococcus: A case report and literature review.A组链球菌引起的腹膜炎：一例报告及文献综述。
Int J Surg Case Rep. 2022 Mar;92:106839. doi: 10.1016/j.ijscr.2022.106839. Epub 2022 Feb 18.
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Primary Group A Streptococcal Peritonitis in a Previously Healthy Female Teenage Patient.一名既往健康的女性青少年患者的原发性A组链球菌性腹膜炎
Glob Pediatr Health. 2020 Sep 16;7:2333794X20957647. doi: 10.1177/2333794X20957647. eCollection 2020.
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peritonitis: a rare, lethal imitator of appendicitis.腹膜炎：阑尾炎的一种罕见、致命的模仿者。
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Group A streptococcal pharyngitis associated with primary peritonitis.与原发性腹膜炎相关的A组链球菌性咽炎
BMJ Case Rep. 2019 May 6;12(5):e229186. doi: 10.1136/bcr-2019-229186.
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Streptococcus pneumoniae primary peritonitis mimicking acute appendicitis in an immunocompetent patient: a case report and review of the literature.免疫功能正常患者中模仿急性阑尾炎的肺炎链球菌原发性腹膜炎：一例病例报告及文献复习
J Med Case Rep. 2019 Apr 28;13(1):126. doi: 10.1186/s13256-019-2038-3.
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Letters.信件。
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Streptococcal Toxic Shock Syndrome: Life Saving Role of Peritoneal Lavage and Drainage.链球菌中毒性休克综合征：腹腔灌洗与引流的救命作用
Clin Med Insights Case Rep. 2016 Aug 18;9:75-7. doi: 10.4137/CCRep.S40217. eCollection 2016.

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Primary group A streptococcal peritonitis in a previously healthy child.
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Streptococcal toxic shock syndrome manifesting as peritonitis in a child.一名儿童表现为腹膜炎的链球菌中毒性休克综合征。
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[Primary peritonitis due to Streptococcus pyogenes].
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A rare case of primary group A streptococcal peritonitis.
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Intravenous immunoglobulin therapy for streptococcal toxic shock syndrome--a comparative observational study. The Canadian Streptococcal Study Group.静脉注射免疫球蛋白治疗链球菌中毒性休克综合征——一项比较性观察研究。加拿大链球菌研究小组。
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Primary group A streptococcal peritonitis.原发性A组链球菌性腹膜炎
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Streptococcal peritonitis associated with the cathartic colon.与泻剂性结肠相关的链球菌性腹膜炎。
Br J Surg. 1982 Jun;69(6):327. doi: 10.1002/bjs.1800690612.
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Primary peritonitis in children and adults.儿童和成人的原发性腹膜炎
Postgrad Med J. 1983 Jan;59(687):21-4. doi: 10.1136/pgmj.59.687.21.
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Primary peritonitis in previously healthy children.既往健康儿童的原发性腹膜炎。
Am J Dis Child. 1984 Nov;138(11):1058-61. doi: 10.1001/archpedi.1984.02140490058014.

一名既往健康的女孩出现原发性A组链球菌败血症性休克综合征，临床表现类似穿孔性阑尾炎。

Primary group A streptococcal septic shock syndrome simulating perforated appendicitis in a previously healthy girl.

作者信息

Patel Ramnik V, Kumar Hemant, More Bharat, Rajimwale Ashok

机构信息

Department of Paediatric Urology, University College London Hospitals NHS Foundation Trust, London, UK.

出版信息

BMJ Case Rep. 2013 May 4;2013:bcr2013009502. doi: 10.1136/bcr-2013-009502.

DOI:10.1136/bcr-2013-009502
PMID:23645702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3670001/
Abstract

A previously healthy 6-year-old girl that initially presented with presumed viral gastrointestinal infection for a week and later developed catastrophic primary peritonitis and septic shock requiring resuscitation and emergency exploratory laparotomy without any identifiable intra-abdominal cause of the sepsis and the peritoneal exudates grew group A streptococci. Appropriate antibiotic therapy was instituted and she made a complete recovery.

摘要

一名既往健康的6岁女孩，最初因疑似病毒性胃肠道感染就诊一周，随后发展为灾难性原发性腹膜炎和感染性休克，需要进行复苏和急诊剖腹探查术，但未发现任何可识别的腹腔内败血症病因，且腹腔渗出液培养出A组链球菌。给予了适当的抗生素治疗，她完全康复。