由化脓性链球菌引起的快速致死性坏死性筋膜炎。
Rapidly fatal necrotising fasciitis caused by Streptococcus pyogenes.
作者信息
Donaldson P M, Naylor B, Lowe J W, Gouldesbrough D R
机构信息
Department of Clinical medicine, University of Leeds.
出版信息
J Clin Pathol. 1993 Jul;46(7):617-20. doi: 10.1136/jcp.46.7.617.
Abstract
AIMS
To describe the morbid anatomical and bacteriological features in a series of five cases of rapidly fatal Streptococcus pyogenes necrotising fasciitis.
METHODS
Post mortem and bacteriological examinations were made of five patients dying within 48 hours from rapidly fatal necrotising fasciitis.
RESULTS
All five cases died rapidly from a toxic Streptococcus toxin syndrome as a result of developing necrotising fasciitis following trivial injury.
CONCLUSIONS
Necrotising fasciitis caused by Streptococcus pyogenes infection can be rapidly fatal. This is probably the result of a toxic shock syndrome. Rapid, early diagnosis and swift and probably empirical treatment is required to avoid a fatal outcome.
摘要
目的
描述一系列5例快速致死性化脓性链球菌坏死性筋膜炎病例的病态解剖学和细菌学特征。
方法
对5例在48小时内死于快速致死性坏死性筋膜炎的患者进行尸检和细菌学检查。
结果
所有5例均因轻微损伤后发生坏死性筋膜炎，迅速死于中毒性链球菌毒素综合征。
结论
化脓性链球菌感染引起的坏死性筋膜炎可迅速致死。这可能是中毒性休克综合征的结果。需要快速、早期诊断以及迅速且可能是经验性的治疗，以避免致命后果。
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