Ghosh K, Jijina F, Pathare A V, Mohanty D
Comprehensive Haemophilia Care Centre at Institute of Immunohaematology and Haematology Unit of KEM Hospital, Mumbai - 400012, India.
Haemophilia. 1999 Nov;5(6):450-2. doi: 10.1046/j.1365-2516.1999.00350.x.
The haemophilia patient tends to live a more protected life than his normal counterpart, this is particularly so in underdeveloped and developing countries where due to poor health infrastructure, financial constraints and nonavailability of factor concentrates, patients quickly learn that they need to live a protected life. Under such circumstances, gas gangrene seems to be a very unusual infection for this group of patients. We report here a 25-year-old male with severe haemophilia who developed gas gangrene due to inadequate medical management following a road traffic accident. Subsequently, his affected limb was salvaged by conservative therapy. A literature search failed to reveal any reports of similar patients in the English literature.
血友病患者往往比正常人的生活受到更多保护,在欠发达国家和发展中国家尤其如此,由于卫生基础设施薄弱、资金紧张以及缺乏凝血因子浓缩剂,患者很快就会明白他们需要过一种受到保护的生活。在这种情况下,气性坏疽对这类患者来说似乎是一种非常罕见的感染。我们在此报告一名25岁的重度血友病男性患者,他在道路交通事故后因医疗管理不当而发生气性坏疽。随后,通过保守治疗保住了他受影响的肢体。文献检索未发现英文文献中有类似患者的报道。