- 期刊
Group a Streptococcal Necrotizing Fasciitis after Varicella: Report of Two Cases
水痘病童併發A族鏈球菌壞死性筋膜炎：二病例報告
摘要
孩童期的水痘感染最常見的併發症是化膿性細菌的繼發性皮盧感染。水痘與因A族β-溶血性鏈球菌造成壞死性筋膜炎之間的關係早已有50餘年的記錄，但在台灣以征的報告很少，所有我們在此報告兩個這種特殊病例及回顧了一些文獻報告。這種疾病是因爲A族β-溶血性鏈球菌的水痘病人所造成的重複感染，而它常因無法及時診斷而造成致命的結果。我們這兩個病人因爲迅速診斷及積極的以外得及內科療法得以存活，且沒有造成任何肢體殘障的嚴重結果。
並列摘要
The most common complication in children with varicella is cutaneous superimposed infection with pyogenic bacteria. The association between varicella and group A β-hemolytic streptococci (GABHS) necrotizing fasciitis has been recorded for over 50 years. Two cases with the specific problems are presented here together with a review of the literature. This infection is caused by GABHS superinfection of the skin lesions due to chickenpox. It can be unrecognized or late-diagnosed, with fatal consequences. Because of prompt recognition and aggressive surgical and medical treatment, the two patients survived without loss of the affected limb.
延伸閱讀
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