[化脓性链球菌引起的坏死性筋膜炎：一例报告]

[Necrotizing fasciitis caused by Streptococcus pyogenes: a case report].

作者信息

Fumis María Agustina, Bidabehere María Belén, Moyano Yohana, Sardoy Agustina, Gubiani María Laura, Boldrini María Pía, Pinardi Beatriz Alicia

机构信息

Hospital San Roque.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2017 Sep 8;74(3):281-287. doi: 10.31053/1853.0605.v74.n3.16627.

DOI:10.31053/1853.0605.v74.n3.16627

PMID:29890105

Abstract

Necrotizing fasciitis caused by group A Streptococcus is an uncommon infection of the subcutaneous tissue and fascia, with a high mortality rate due to its rapid progression to shock and multiorgan failure. It usually develops in extremities after trauma or previous injury. Early diagnosis is essential as well as fast and aggressive management. We present a case of rapidly evolving necrotizing fasciitis despite the early diagnosis and specific treatment established.

摘要

A 组链球菌引起的坏死性筋膜炎是一种罕见的皮下组织和筋膜感染，因其迅速发展为休克和多器官功能衰竭而死亡率很高。它通常在创伤或先前受伤后的四肢发病。早期诊断以及快速积极的治疗至关重要。我们报告一例尽管已确立早期诊断和特异性治疗，但坏死性筋膜炎仍迅速进展的病例。