Agnholt J, Andersen I, Søndergaard G
Department of Internal Medicine C, Aalborg Hospital, Denmark.
Acta Med Scand. 1988;223(2):191-2. doi: 10.1111/j.0954-6820.1988.tb15786.x.
During the last few years streptococcal infections have been reported in connection with various cutaneous manifestations with severe or fatal outcome. A 62-year-old female with chronic interstitial nephritis was admitted with progression of confluent bullous lesions on her right leg. She had contracted a superficial scratch on her right foot 2 days prior to admission. Within 16 hours she deteriorated rapidly with symptoms on sepsis. Blood cultures and cutaneous swabs disclosed growth of beta-haemolytic streptococci group A. In spite of correct penicillin treatment she died 28 hours after admission. Skin biopsies from her right leg showed severe necrosis. This report is a reminder that new, cutaneous manifestations of streptococcal disease are still emerging.
在过去几年中，有报告称链球菌感染与各种皮肤表现相关，可导致严重或致命后果。一名62岁患有慢性间质性肾炎的女性因右腿融合性大疱性病变进展而入院。入院前两天，她右脚出现了一处表浅擦伤。入院后16小时内，她迅速恶化，出现败血症症状。血培养和皮肤拭子培养显示A组β溶血性链球菌生长。尽管进行了正确的青霉素治疗，但她在入院28小时后死亡。她右腿的皮肤活检显示严重坏死。本报告提醒人们，链球菌疾病新的皮肤表现仍在不断出现。
