Tropet Y, Garbuio P, Elias B, Irrazi M B, Vichard P
Service de chirurgie orthopédique traumatologique et plastique (Pr Vichard), Hôpital J. Minjoz, Besançon.
Chirurgie. 1996;121(6):482-6.
We report three cases of streptococci cellulitis of the hand. The characteristic clinical presentation suggested streptococcus infection; locoregional edema, rash, echymosis, phlyctena and signs of finger ischemia. Operative findings also suggested streptococcus infection: swelling of brownish subcutaneous tissue and local thrombus formation. There was no true pus formation. Streptococcus was identified in all 3 cases. Emergency surgical treatment is needed. The portal is opened, followed by extensive fasciotomy and debridement of all necrosed tissue. Partial suture is indicated. Antibiotics can be used as an adjunct but are not sufficient alone.
我们报告了3例手部链球菌性蜂窝织炎病例。特征性的临床表现提示为链球菌感染：局部水肿、皮疹、瘀斑、水疱及手指缺血征象。手术所见也提示为链球菌感染：褐色皮下组织肿胀及局部血栓形成。无真正的脓液形成。所有3例均检出链球菌。需要进行急诊手术治疗。切开引流，随后广泛行筋膜切开术并清除所有坏死组织。需行部分缝合。抗生素可作为辅助治疗手段，但单独使用并不充分。
