自发性链球菌坏疽性肌炎：早期清创术后存活

Spontaneous streptococcal gangrenous myositis: survival with early debridement.

作者信息

Doebbeling B N, Wenzel R P

机构信息

Department of Internal Medicine, College of Medicine, University of Iowa Hospitals and Clinics, Iowa City 52242.

出版信息

South Med J. 1989 Jul;82(7):900-2. doi: 10.1097/00007611-198907000-00025.

DOI:10.1097/00007611-198907000-00025

PMID:2665131

Abstract

Spontaneous gangrenous myositis caused by Streptococcus pyogenes is usually fatal, but no longer uniformly so. There appears to be a spectrum of disease due to beta-hemolytic streptococci, from necrotizing fasciitis to pyomyositis to spontaneous gangrenous myositis. Survival is possible with early surgical debridement, reexploration at 24 to 36 hours, and intensive supportive care.

摘要

由化脓性链球菌引起的自发性坏疽性肌炎通常是致命的，但现在已不再一概如此。由于β溶血性链球菌感染似乎存在一系列疾病，从坏死性筋膜炎到脓性肌炎再到自发性坏疽性肌炎。早期手术清创、在24至36小时后再次探查以及强化支持治疗有可能实现存活。