Buwalda M, Speelberg B
Department of Intensive Care, St Radboud University Hospital, Nijmegen, Netherlands.
Neth J Med. 1995 Dec;47(6):291-5. doi: 10.1016/0300-2977(95)00042-9.
A seemingly trivial infection of the skin can lead to fulminant staphylococcal pneumonia and death. This case history describes the evolution of a fatal Staphylococcus aureus sepsis complicated by the development of multiple lung abscesses in a 17-year-old patient. A pre-existing cutaneous furuncle was the only identifiable cause. Early bacteraemic symptoms are described. Multiple cavitory lesions could be seen on a CAT-scan. The authors would like to stress the importance of early and adequate antibiotic treatment.
看似微不足道的皮肤感染可能会导致暴发性葡萄球菌肺炎并致人死亡。本病例记录描述了一名17岁患者致命的金黄色葡萄球菌败血症的发展过程,该过程并发了多发性肺脓肿。先前存在的皮肤疖肿是唯一可查明的病因。文中描述了早期菌血症症状。在计算机断层扫描(CAT扫描)上可以看到多个空洞性病变。作者想强调早期和充分充分抗生素治疗充分的重要性。