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一名未确诊恶性肿瘤患者的暴发性B族链球菌坏死性筋膜炎：病例报告

Fulminant group B Streptococcal necrotizing fasciitis in a patient with undiagnosed malignancy: a case report.

作者信息

Collis Sophia, Hoskinson Scott

机构信息

Brown University Class of 2020, Providence, RI, United States.

Division of Infectious Disease, Hawaii Permanente Medical Group/Kaiser Permanente Hawaii Region, Wailuku, HI, United States.

出版信息

IDCases. 2019 Oct 14;19:e00655. doi: 10.1016/j.idcr.2019.e00655. eCollection 2020.

DOI:10.1016/j.idcr.2019.e00655
PMID:32226754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7093746/
Abstract

Group A Streptococcus is well established as the most common pathogen causing necrotizing fasciitis. In contrast, Group B Streptococcus (GBS, or ) is a rare cause of necrotizing fasciitis, particularly in adults. We present the case of a patient who developed a fulminant case of GBS necrotizing fasciitis on a backdrop of a previously undiagnosed malignancy, and review the relevant literature.

摘要

A组链球菌是导致坏死性筋膜炎最常见的病原体，这一点已得到充分证实。相比之下，B组链球菌（GBS）是坏死性筋膜炎的罕见病因，尤其是在成年人中。我们报告了一例在先前未诊断出恶性肿瘤的背景下发生暴发性GBS坏死性筋膜炎的患者病例，并对相关文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f75/7093746/3f76da07df74/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f75/7093746/4fca24a6a1ed/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f75/7093746/b1e93be0325f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f75/7093746/3f76da07df74/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f75/7093746/4fca24a6a1ed/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f75/7093746/b1e93be0325f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f75/7093746/3f76da07df74/gr3.jpg

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Clin Microbiol Rev. 2014 Apr;27(2):264-301. doi: 10.1128/CMR.00101-13.
3
Increasing burden of invasive group B streptococcal disease in nonpregnant adults, 1990-2007.1990 - 2007年非妊娠成人侵袭性B族链球菌病负担加重
Clin Infect Dis. 2009 Jul 1;49(1):85-92. doi: 10.1086/599369.
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Invasive group B Streptococcal disease in non-pregnant adults : a review with emphasis on skin and soft-tissue infections.非妊娠成人侵袭性B族链球菌病：以皮肤和软组织感染为重点的综述
Infection. 2008 Mar;36(2):100-11. doi: 10.1007/s15010-007-7251-0. Epub 2008 Jan 12.
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Eur J Clin Microbiol Infect Dis. 2004 Jul;23(7):573-5. doi: 10.1007/s10096-004-1154-0. Epub 2004 Jun 16.
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