β溶血性レンサ球菌による壊死性筋膜炎 2011年から2015年における自験例9例と本邦報告例のまとめ  [in Japanese] β-hemolytic Streptococcal Necrotizing Fasciitis Report of 9 Cases and Review of the Literature in Japan between 2011 and 2015  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

<p>劇症型溶血性レンサ球菌(溶連菌)感染症は,死亡率の高い疾患として知られており,A群溶連菌が代表的起因菌である.近年では,A群以外のβ溶連菌による報告が増えており,2006年以降,本邦の感染症法ではβ溶連菌によるものすべてが報告義務となった.</p><p>一方で,劇症型溶連菌感染症と同一の疾患ではないが合併することの多い,壊死性筋膜炎は報告義務がなく,単発的な症例報告にとどまる.今回,2011年から2015年の本邦報告例をまとめ,壊死性筋膜炎の定義,菌種別の臨床像の特徴,適切な手術介入について考察を行った.</p>

<p>Streptococcal toxic shock syndrome (STSS) has a high mortality rate, and group A streptococcus is the usual causative bacterial species. Recently, cases of STSS caused by non-group A β-hemolytic streptococcus have increased. According to the Japan-Infections Disease Law, reporting all cases of STSS caused by β-hemolytic streptococcus has been mandatory since 2006.</p><p>In contrast, necrotizing fasciitis, which is a frequent complication with STSS, but not the same disease, is not required to be reported. Therefore, case reports of necrotizing fasciitis are sporadic. In this report, we collected case reports of necrotizing fasciitis between 2011 and 2015 in Japan and based on these reports, we reconsidered the existing definition of necrotizing fasciitis, clarified the characteristics of non-group A streptococcal necrotizing fasciitis, and determined the appropriate operative interventions for the treatment of the condition.</p>

Journal

  • The Japanese Journal of Dermatology

    The Japanese Journal of Dermatology 126(10), 1929-1938, 2016

    Japanese Dermatological Association

Codes

  • NII Article ID (NAID)
    130005416182
  • NII NACSIS-CAT ID (NCID)
    AN00196602
  • Text Lang
    JPN
  • ISSN
    0021-499X
  • NDL Article ID
    027611747
  • NDL Call No.
    Z19-202
  • Data Source
    NDL  J-STAGE 
Page Top