Versaci A, Livio F, Rossitto M, Ciccolo A, Centorrino T, Di Mauro M A, Califano L
Istituto di Chirurgia Generale, Università degli Studi di Messina.
G Chir. 1997 Nov-Dec;18(11-12):797-800.
Necrotizing fasciitis is an infection which involves soft tissues up to the fascia, with wide areas of necrosis, and is mainly caused by group A beta-hemolytic Streptococcus. The Authors report a case recently observed and after an accurate review of the Literature, taking into account the most recent pathogenetic knowledges, confirm the necessity of an early diagnosis based on clinical criteria but above all on histological biopsy. The treatment is mainly surgical, and allows, together with the medical treatment, to subdue the rapid progression of the infection which notwithstanding maintains an high mortality rate.
坏死性筋膜炎是一种累及深至筋膜的软组织感染，伴有大面积坏死，主要由A组β溶血性链球菌引起。作者报告了最近观察到的一例病例，并在对文献进行准确回顾后，考虑到最新的发病机制知识，确认基于临床标准尤其是组织学活检进行早期诊断的必要性。治疗主要是手术治疗，与药物治疗一起可抑制感染的快速进展，尽管如此，感染的死亡率仍然很高。
