Baliabin A A, Kocherovets V I, Stolbovoĭ A V
Arkh Patol. 1983;45(3):12-8.
Fourteen cases of nonclostridial anaerobic infections of soft tissues caused by peptococci, peptostreptococci, bacteroids or their combinations with E. coli, Proteus, and Staphylococcus aureus were studied. They are characterized by a rapid spread of serous-suppurative inflammation and the causative agents in loose fibrous connective tissue of subcutaneous adipose tissue (cellutitis), surface fascia (fasciitis), or skeletal muscles (myositis). Dissolution of intercellular structures of the connective tissue, extensive necroses, mild leukocyte reaction, and a wide peripheral zone of toxic edema are observed in the focus of inflammation. This is due to a high toxicity and enzymatic activity of the causative agents. Gas formation is observed when anaerobes are combined with E. coli.
对14例由消化球菌、消化链球菌、拟杆菌或它们与大肠杆菌、变形杆菌及金黄色葡萄球菌混合感染引起的软组织非梭菌性厌氧感染进行了研究。其特征为浆液性化脓性炎症迅速扩散，病原体存在于皮下脂肪组织（蜂窝织炎）、浅筋膜（筋膜炎）或骨骼肌（肌炎）的疏松纤维结缔组织中。在炎症灶可见结缔组织细胞间结构溶解、广泛坏死、轻度白细胞反应及宽的外周毒性水肿带。这是由于病原体具有高毒性和酶活性所致。厌氧菌与大肠杆菌混合感染时可见产气现象。
