坏死性肌炎1例报告及简要文献研究。

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Acta Clinica Belgica Pub Date : 2020-12-01 Epub Date: 2019-07-03 DOI:10.1080/17843286.2019.1637388
Arthur Basso, Filip Moerman, Christophe Ronsmans, Martine Demarche
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引用次数: 1

摘要

坏死性肌炎是一种极为罕见的软组织感染,主要由A群链球菌引起。虽然它的表现是非特异性的,似乎是无害的,但它几乎在所有病例中都会迅速导致死亡。因此,坏死性肌炎的诊断和治疗被视为医疗急救。我们报告的这名27岁患者受益于早期诊断和护理。坏死组织在出现第一个临床症状24小时后手术切除。第一天给予静脉抗生素治疗和免疫球蛋白治疗。从这个临床病例出发,我们对其发病机制、主要临床特征和适当的诊断工具进行了简要的解释。然后,适当的抗生素治疗,免疫球蛋白治疗的作用和高压氧治疗的兴趣将讨论。
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Necrotizing myositis case report and brief literature study.

Necrotizing myositis is an extremely rare soft tissue infection, mainly caused by Group A Streptococci. Although its presentation is nonspecific and seems harmless, it quickly leads to death in almost all cases. Therefore, diagnosis and treatment of necrotizing myositis are considered as medical emergencies. The 27 years old patient we report benefited from early diagnosis and care. Necrotic tissues were surgically removed 24 hours after the appearance of the first clinical signs. Intravenous antibiotherapy as well as immunoglobulin therapy were also given on the first day. Starting from this clinical case, we present a brief explanation of the pathogenesis, the key clinical features and appropriate tools for diagnosis. Then, adequate antibiotherapy, role of immunoglobulin therapy and interest of hyperbaric oxygenotherapy will be discussed.

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来源期刊
Acta Clinica Belgica
Acta Clinica Belgica MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
0.00%
发文量
44
期刊介绍: Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.
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