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| 題 名 | Necrotizing Fasciitis as a Complication of Ultrasound-Guided Fine Needle Aspiration of a Lung Abscess--A Case Report=超音波指引之肺膿瘍抽吸術併發壞死性筋脈炎--病例報告 |
|---|---|
| 作 者 | 楊志勻; 王鴻昌; 盧朝勇; | 書刊名 | 胸腔醫學 |
| 卷 期 | 17:1 2002.03[民91.03] |
| 頁 次 | 頁73-77 |
| 分類號 | 415.464 |
| 關鍵詞 | 壞死性筋脈炎; 肺膿瘍; 細針抽吸術; 肺癌; Lung abscess; Lung cancer; Necrotizing fasciitis; Transthoracic fine needle aspiration; |
| 語 文 | 英文(English) |
| 中文摘要 | 壞死性筋脈炎(necrotizing fasciitis)是一種嚴重而且惡化快速的皮下組織和筋脈感染症,大多與創傷或者手術有關。我們報告一個罕見在超音波指引之肺腫瘍抽吸術導致壞死性筋脈炎的病例。一個53歲男性肺癌合併肺膿瘍患者由於持續發燒,施予標準的超音波指引之肺膿瘍細針抽吸術。三天之後,從這個小針孔迅速擴展成為壞死性筋脈炎。肺膿瘍及壞死性筋脈炎之細菌培養均為D群鏈球菌。儘管施與包括抗生素治療及筋脈切除術等的積極處理,病人仍在兩個月後因為傷口感染導致敗血症而死亡。 |
| 英文摘要 | Necrotizing fasciitis (NF) is a serious, rapidly progressive infection of the subcutaneous tissue and fascia, most often related to trauma or surgery. We report a rare case of NF which occurred as a complication of ultrasound (US)-guided transthoracic fine needle aspiration (TFNA) for lung cancer associated with an abscess formation. A standard US-quided TFNA for the lung abscess was performed for the purpose of cytological and bacterial analysis. Three days later, necrotizing fasciitis developed from the puncture site, with rapid extension to the upper lateral abdominal wall. A bacterial culture of the lung abscess isolated group D streptococcus, which is compatible with the culture of NF. Despite aggressive treatment, including emergency fasciectomy, the patient expired due to uncontrolled epsis from a secondary wound infection 2 months after admission. |
本系統中英文摘要資訊取自各篇刊載內容。