Singh K P, Morris A, Lang S D, MacCulloch D M, Bremner D A
Middlemore Hospital, Auckland.
N Z Med J. 1988 Dec 14;101(859):813-6.
We describe clinically significant infections due to Streptococcus anginosus in 186 patients; 114 (61.3%) males and 72 (38.7%) females, median age 42 years, range 9 months to 93 years. In 101 (54.3%) cases S anginosus alone caused infection and in 85 (45.7%) cases it was associated with other microorganisms. Abscesses accounted for 110 (59.1%) infections. Sites of infection were: miscellaneous skin and soft tissue, 64 (34.4%), intraabdominal 41 (22%), head and neck 34 (18.3%), pleuropulmonary 22 (11.8%), genitourinary 9 (4.8%), musculoskeletal 6 (3.2%), endocarditis 5 (2.7%) and primary bacteraemia 5 (2.7%). Treatment consisted of antibiotic therapy which was often prolonged, median 30 days, range 2-90 days, and surgery in 159 (85.5%). S anginosus infection was a contributory factor in two of the three deaths which occurred.
我们描述了186例由咽峡炎链球菌引起的具有临床意义的感染病例；其中男性114例（61.3%），女性72例（38.7%），年龄中位数为42岁，范围从9个月至93岁。在101例（54.3%）病例中，仅咽峡炎链球菌引起感染，在85例（45.7%）病例中，它与其他微生物有关。脓肿占110例（59.1%）感染。感染部位包括：其他皮肤和软组织64例（34.4%）、腹腔内41例（22%）、头颈部34例（18.3%）、胸膜肺部22例（11.8%）、泌尿生殖系统9例（4.8%）、肌肉骨骼系统6例（3.2%）、心内膜炎5例（2.7%）和原发性菌血症5例（2.7%）。治疗包括抗生素治疗（通常疗程较长，中位数为30天，范围为2 - 90天）以及159例（85.5%）进行了手术。在发生的3例死亡病例中，咽峡炎链球菌感染是其中2例的促成因素。
