From the Department of Orthopaedic Surgery (Dr. Markowitz, Dr. Kwan), Rowan University SOM, Stratford, NJ (Dr. Markowitz, Dr. Kwan), and Orthopaedic Surgery (Dr. Matzon), Rothman Orthopaedic Institute-Hand, Wrist, Elbow, & Microvascular Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Rothman Institute, Philadelphia, PA.
J Am Acad Orthop Surg Glob Res Rev. 2022 Aug 3;6(8). doi: 10.5435/JAAOSGlobal-D-21-00171. eCollection 2022 Aug 1.
A healthy 40-year-old woman was diagnosed with necrotizing fasciitis 2 days after her husband's death from the same infectious process. Prompt identification and immediate surgical intervention prevented a similar result in this patient. Additional investigation into both patients' medical records found the inciting organism to be group A streptococcus. Although the exact mechanism of inoculation is unknown, the spread of this infection within a household prompts the question of whether antibiotic prophylaxis should be given among close contacts in future cases of necrotizing fasciitis.
一名健康的 40 岁女性在其丈夫因相同感染过程去世两天后被诊断患有坏死性筋膜炎。及时识别并立即进行手术干预，避免了该患者出现类似结果。对两名患者的病历进行进一步调查发现，引发感染的病原体为 A 组链球菌。虽然接种的确切机制尚不清楚，但这种感染在家庭内传播，促使人们提出在未来的坏死性筋膜炎病例中，是否应给予密切接触者抗生素预防的问题。
