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: 一种罕见的坏死性筋膜炎病因。

: a rare cause of necrotising fasciitis.

机构信息

General Surgery, North Tees and Hartlepool NHS Foundation Trust, Stockton-on-Tees, UK

General Surgery, North Tees and Hartlepool NHS Foundation Trust, Stockton-on-Tees, UK.

出版信息

BMJ Case Rep. 2020 May 27;13(5):e235115. doi: 10.1136/bcr-2020-235115.

Abstract

Necrotising fasciitis is a life-threatening condition characterised by inflammation, affecting the soft tissues, which spreads within a fascial plane. Skin changes can be delayed and can often go unnoticed. The condition arises from a bacterial infection, commonly being of polymicrobial aetiology. We describe an uncommon case of necrotising fasciitis caused by , an anaerobic coccus, in a 40-year-old patient with diabetes. is a Gram-positive anaerobic coccus, which was previously known as The bacteria is found in the normal flora of the urogenital tract. The bacteria is associated with severe infections such as native valve endocarditis, paravalvular abscess around a bioprosthetic valve, purulent pericarditis complicated by mediastanitis, meningitis after pneumonia and necrotising pneumonia complicated by pyopneumothorax. There have been no cases in the literature describing necrotising fasciitis of the abdominal wall caused by .

摘要

坏死性筋膜炎是一种危及生命的疾病,其特征为炎症,影响筋膜平面内的软组织。皮肤变化可能会延迟,并且常常容易被忽视。这种疾病是由细菌感染引起的,通常为多微生物病因。我们描述了一例罕见的由厌氧球菌引起的坏死性筋膜炎病例,患者为 40 岁糖尿病患者。 是一种革兰阳性厌氧球菌,以前称为 。该细菌存在于泌尿生殖道的正常菌群中。该细菌与严重感染有关,如原生瓣膜心内膜炎、生物瓣周围的瓣周脓肿、化脓性心包炎合并纵隔炎、肺炎后脑膜炎和合并脓气胸的坏死性肺炎。文献中没有描述由 引起的腹壁坏死性筋膜炎的病例。

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