肺炎克雷伯杆菌颈部坏死性筋膜炎3例及文献复习

丛铁川; 刘玉和; 高为华; 李天成; 王全桂; 肖水芳; 秦永

doi:10.13201/j.issn.1001-1781.2013.19.002

肺炎克雷伯杆菌颈部坏死性筋膜炎3例及文献复习

- 北京大学第一医院耳鼻咽喉头颈外科(北京, 100034)

详细信息

通讯作者: 秦永,E-mail:youngcaptain63@hotmail.com

中图分类号: R686.3

收稿日期: 2013-01-13

Cervical necrotizing fasciitis caused by klebsiella pneumoniae:three cases report and review of literature

- Department of Otolaryngology-Head and Neck Surgery, the First Hospital of Peking University, Beijing, 100034, China

More Information

Corresponding author: QIN Yong, E-mail: youngcaptain63@hotmail.com

Received Date: 13 January 2013

摘要

摘要: 目的:分析肺炎克雷伯杆菌感染导致的颈部坏死性筋膜炎的临床特点,结合文献分析我国大陆地区该病和侵袭性肺炎克雷伯杆菌综合征之间的关系。目的:回顾性分析我科3例肺炎克雷伯杆菌致颈部坏死性筋膜炎患者的临床资料,同时以肺炎克雷伯杆菌、坏死性筋膜炎和肝脓肿为关键词检索万方数据库。结果:3例患者均顺利治愈,无明显并发症,未发生迁移性感染。我国大陆地区亦未发现侵袭性肺炎克雷伯杆菌综合征的患者罹患坏死性筋膜炎。结论:肺炎克雷伯杆菌感染导致的颈部坏死性筋膜炎有出现迁移性感染的可能,但我国大陆地区尚未见报道。
- 筋膜炎,坏死性 /
- 颈部 /
- 肺炎克雷伯杆菌
Abstract: Objective: To analyze the clinical manifestations of three cases of cervical necrotizing fasciitis caused by klebsiella pneumoniae and to analyze the published articles concerning the relationship between invasive klebsiella syndrome and necrotizing fasciitis in Chinese Mainland.Method: We have retrospectively analyzed three cases of cervical necrotizing fasciitis caused by klebsiella pneumoniae treated in our department between 2003 and 2012. We also reviewed the Chinese-language scientific literature included in the WanFang data by searching with the following key words: necrotizing fasciitis, klebsiella pneumoniae and liver abscess. Result: These patients recovered uneventfully without obvious complications or disseminated infection foci. Sporadic cases of invasive klebsiella syndrome were reported without necrotizing fasciitis involvement in Chinese Mainland.Conclusion: Cervical necrotizing fasciitis caused by klebsiella pneumoniae may give rise to disseminated infection but there has been no such case report in Chinese Mainland.
- necrotizing fasciitis /
- cervix /
- klebsiella pneumoniae

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