Huang F Y, Hsu C S, Chang K L
Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1994 Mar-Apr;35(2):163-9.
Recently, among adults and children, an increase in the incidence of invasive disease caused by group A beta hemolytic streptococcus (GABHS) has been noted. From December 6, 1981 to January 19, 1991, we experienced six cases of serious infection caused by GABHS in previously well children. Among them, five cases were found in recent two years. The clinical manifestations were varied. One child had sepsis, one had streptococcal toxic shock-like syndrome, two had pyogenic arthritis, and the other two newborn infants had empyema and cellulitis associated with sepsis. Early diagnosis and treatment with appropriate antibiotic are necessary for a good outcome. In addition, empyema and pyoarthritis of the hip often need surgical drainage.
最近，在成人和儿童中，已注意到A组β溶血性链球菌（GABHS）引起的侵袭性疾病发病率有所增加。从1981年12月6日至1991年1月19日，我们遇到了6例既往健康儿童由GABHS引起的严重感染。其中，5例是在最近两年发现的。临床表现各不相同。一名儿童患有败血症，一名患有链球菌中毒性休克样综合征，两名患有化脓性关节炎，另外两名新生儿患有脓胸和与败血症相关的蜂窝织炎。早期诊断并使用适当的抗生素进行治疗对于取得良好疗效是必要的。此外，脓胸和髋关节脓性关节炎通常需要手术引流。
