Mundigler G, Geppert A, Henk C, Girsch W, Siostrzonek P
Department of Internal Medicine II, University of Vienna, Austria.
Wien Klin Wochenschr. 1998 Jun 26;110(12):446-8.
Necrotizing fasciitis is a rare but life-threatening infection of the subcutaneous tissue. In addition to Group A streptococci, polymicrobial infection with various aerobic and anaerobic gram positive or gram negative bacteria is frequently observed. The present case illustrates that a high level of clinical suspicion is necessary for early diagnosis of this disease and confirms the value of computed tomography in patients with sepsis of unknown origin. Because of rapid progression of the disease early debridement of necrotic tissue is mandatory for survival.
坏死性筋膜炎是一种罕见但危及生命的皮下组织感染。除了A组链球菌外，还经常观察到由各种需氧和厌氧革兰氏阳性或革兰氏阴性细菌引起的混合感染。本病例表明，对这种疾病的早期诊断需要高度的临床怀疑，并证实了计算机断层扫描在不明原因败血症患者中的价值。由于疾病进展迅速，早期清除坏死组织对于生存至关重要。
