Fourrier P, Vergote T, Cisterne A, Papot G, Philip P, de Boissy E
Ann Chir Main. 1986;5(2):166-8. doi: 10.1016/s0753-9053(86)80034-5.
The authors report three cases of streptococcal cellulitis of the hand with gangrene. The severity of this disease is underlined. Occasionally, segmentary amputation may be necessary. Onset of gangrene may be explained by a double mechanism : streptococcal infection may induce vasculitis obliterans of the regional vessels, extensive edema with ecchymosis may be a factor of segmental compression. Treatment should include excision of the entrance door, antibiotherapy and fasciotomy as needed.
作者报告了3例手部链球菌性蜂窝织炎伴坏疽的病例。强调了这种疾病的严重性。偶尔，可能需要进行节段性截肢。坏疽的发生可能由双重机制解释：链球菌感染可能诱发局部血管的闭塞性血管炎，广泛的水肿伴瘀斑可能是节段性压迫的一个因素。治疗应包括切除感染入口、抗生素治疗以及根据需要进行筋膜切开术。
