Nathan L, Peters M T, Ahmed A M, Leveno K J
Department of Obstetrics and Gynecology, University of Texas Southwestern Medical School, Dallas 75235-9032.
Am J Obstet Gynecol. 1993 Sep;169(3):571-2. doi: 10.1016/0002-9378(93)90623-q.
A dramatic decline in the prevalence of serious puerperal infection caused by group A beta-hemolytic streptococci has been observed throughout most of the twentieth century, and it is currently a very uncommon cause of maternal morbidity and mortality. We report on two term pregnancies complicated by profound multisystem organ failure caused by group A streptococcal puerperal sepsis. This report serves to highlight the apparent return of serious group A streptococcal puerperal sepsis and to emphasize the clinical implications and sequelae attributable to an old yet virulent enemy.
在整个二十世纪的大部分时间里，已观察到由A组β溶血性链球菌引起的严重产褥感染患病率急剧下降，目前它是孕产妇发病和死亡的非常罕见的原因。我们报告了两例足月妊娠，其并发由A组链球菌产褥期败血症引起的严重多系统器官衰竭。本报告旨在强调严重的A组链球菌产褥期败血症明显再次出现，并强调这种古老但致命的病原体所带来的临床影响和后遗症。
