Department of Orthopaedic Surgery, Larkin Community Hospital, South Miami, Florida.
Miami Hand and Upper Extremity Institute, Miami, Florida.
JBJS Case Connect. 2022 Mar 16;12(1):01709767-202203000-00069. doi: e21.00698.
In this article, we present a case report of a patient with limited medical history and without apparent local injury, who developed left hand Group A Streptococcus-induced necrotizing fasciitis after undergoing a prolonged endodontic procedure.
In addition to host factors, perhaps, the virulence of the bacteria present in the oropharynx and the expected bacterial load based on the length and complexity of a dental procedure need to be considered when deciding on whether or not to administer prophylactic antibiotics to patients undergoing dental procedures.
本文报道了一例病例，该患者病史有限，且无明显局部损伤，在接受长时间根管治疗后，左手感染 A 组链球菌引起坏死性筋膜炎。
除宿主因素外，在决定是否对接受牙科手术的患者使用预防性抗生素时，还需考虑口咽部细菌的毒力以及手术长度和复杂性预计产生的细菌负荷。
