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[猩红热的一种罕见并发症:侵袭性A组链球菌感染伴链球菌中毒性休克综合征]

[An rare complication of scarlet fever : invasive group A streptococcal infection with streptococcal toxic shock syndrome].

作者信息

Warnier H, Depuis Z, Nyamugabo K, Desprechins B, Seghaye M-C

机构信息

Université de Liège, Belgique.

Service de Pédiatrie, CHU de Liège, Site NDB, Liège, Belgique.

出版信息

Rev Med Liege. 2017 Mar;72(3):132-137.

Abstract

Invasive Group A Streptococcus infections and streptococcal toxic shock syndrome are rare complications of common diseases in children such as scarlet fever or impetigo. These invasive diseases are particulary challenging because of their rapid progression and the lack of predisposing factors in most cases. Prompt diagnosis and treatment are mandatory to reduce the mortality associated with these severe diseases. We report the case of an 8- year-old girl who developped an invasive group A streptococcal disease with osteomyelitis and streptococcal toxic shock syndrome in the course of a classical scarlet fever.

摘要

侵袭性A组链球菌感染和链球菌中毒性休克综合征是儿童常见疾病(如猩红热或脓疱病)的罕见并发症。这些侵袭性疾病尤其具有挑战性,因为它们进展迅速且在大多数情况下缺乏诱发因素。必须迅速诊断和治疗,以降低与这些严重疾病相关的死亡率。我们报告了一名8岁女孩的病例,她在典型猩红热病程中发生了伴有骨髓炎和链球菌中毒性休克综合征的侵袭性A组链球菌疾病。

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