• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文OA文献 >Necrotizing Fasciitis caused by Streptococcus pyogenes: A case report and literature review of disease diagnosis and management
【2h】

Necrotizing Fasciitis caused by Streptococcus pyogenes: A case report and literature review of disease diagnosis and management

机译：化脓性链球菌引起的坏死性筋膜炎：一例报告及疾病诊断与治疗文献复习

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: A 55-year-old male presented to the emergency room at a local hospital complaining ofchest discomfort and severe left elbow pain.Case Presentation: Erythema and symptoms of peripheral neuropathy were evident in the lefthand. The patient reported recent trauma to his left elbow; however a radiograph of the left arm wasunremarkable for fracture. After being admitted to the intensive care unit for observation, he developedworsening pain out of proportion and progressive decreased sensation in his left hand.Diagnosis: Initially, left arm compartment syndrome was suspected and treated accordingly. Aftersurgical intervention, the patient’s subsequent symptoms and preliminary blood culture results revealedGram positive cocci in chains, indicating necrotizing fasciitis. The isolate was identifi ed as group A betahemolyticStreptococcus (GABS).Treatment and Follow-up: Broad-spectrum antibiotics given at outset were extended with additionalantibiotics. Treatment consisted of fi ve separate surgeries involving extensive debridement of necrotictissue amounting to approximately 55 to 65 percent of the patient’s body surface area. The patient waseventually released to a burn center for skin grafting and wound closure and in less than three months,he expired.
机译：背景：一名55岁的男性因胸部不适和严重的左肘疼痛出现在当地医院的急诊室。病例报告：左手出现红斑和周围神经病变的症状。该患者报告了最近的左肘创伤。然而，左臂的X线片骨折无明显变化。被送进重症监护室进行观察后，他的左手疼痛加剧，并逐渐感觉减退。诊断：最初怀疑是左臂室综合征，并进行了相应的治疗。手术后，患者的随后症状和初步血液培养结果显示，革兰氏阳性球菌呈链状阳性，表明坏死性筋膜炎。分离株被鉴定为A组溶血性链球菌（GABS）。治疗和随访：一开始就给予广谱抗生素和其他抗生素。治疗包括五个单独的手术，涉及大量坏死组织的清创术，占患者体表面积的大约55％至65％。最终，该患者被释放到烧伤中心进行皮肤移植和伤口闭合，并在不到三个月的时间内死亡。

著录项

  • 作者

    Aziz, Hassan A;

  • 作者单位
  • 年度 2017
  • 总页数
  • 原文格式 PDF
  • 正文语种 en
  • 中图分类

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号