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成人因A组链球菌感染导致的坏疽性水痘伴中毒性休克样综合征:病例报告

Varicella gangrenosa with toxic shock-like syndrome due to group A streptococcus infection in an adult: case report.

作者信息

González-Ruiz A, Ridgway G L, Cohen S L, Hunt C P, McGrouther G, Adiseshiah M

机构信息

Department of Clinical Microbiology, University College London Hospital, United Kingdom.

出版信息

Clin Infect Dis. 1995 Apr;20(4):1058-60; discussion 1061-2. doi: 10.1093/clinids/20.4.1058.

DOI:10.1093/clinids/20.4.1058
PMID:7795052
Abstract

Varicella gangrenosa is a rare and serious complication of chickenpox that has been described in children only. We describe a case of an adult with varicella gangrenosa that presented as necrotizing fasciitis of a limb. This infection is caused by group A streptococcal superinfection of the skin lesions due to chickenpox. It can be misdiagnosed, with fatal consequences. Because of prompt recognition and aggressive surgical and medical treatment, the patient survived without loss of the affected limb.

摘要

坏疽性水痘是水痘一种罕见且严重的并发症,仅在儿童中有所描述。我们报告一例成人坏疽性水痘病例,该病例表现为肢体坏死性筋膜炎。这种感染是由水痘引起的皮肤病变的A组链球菌重叠感染所致。它可能被误诊,从而导致致命后果。由于及时识别并采取积极的手术和药物治疗,患者得以存活,患肢未出现坏死。

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J Virol. 2003 Apr;77(7):4104-12. doi: 10.1128/jvi.77.7.4104-4112.2003.
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Therapeutic Approaches to Streptococcal Toxic Shock Syndrome.链球菌中毒性休克综合征的治疗方法
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