DeMuro Jp, Hanna Af, Chalas E, Cunha Ba
Winthrop University Hospital, Mineola, New York, USA.
J Surg Case Rep. 2012 Sep 1;2012(9):10. doi: 10.1093/jscr/2012.9.10.
We report a case of a previously healthy woman after an uneventful caesarean section who developed polymicrobial necrotizing fasciitis. She was given a non-steroidal anti-inflamatory drug (NSAID) after her delivery. Her post-delivery course was complicated by septic shock, and required multiple debridements before abdominal reconstruction. This case describes the increased risk of necrotizing fasciitis with NSAID use. Unusual were the organisms causing the polymicrobial necrotizing fasciitis: Staphylococcus aureus, Enterobacter agglomerans, Acinetobacter baumannii, and two strains of Enterobacter cloacae.
我们报告一例既往健康的女性，在经历了一次顺利的剖宫产术后发生了多微生物坏死性筋膜炎。她在分娩后使用了非甾体抗炎药（NSAID）。她产后病程因感染性休克而复杂化，在进行腹部重建之前需要多次清创。本病例描述了使用NSAID后坏死性筋膜炎风险的增加。引起多微生物坏死性筋膜炎的病原体不同寻常：金黄色葡萄球菌、聚团肠杆菌、鲍曼不动杆菌和两株阴沟肠杆菌。
