Calif Edward, Kaufman Basil, Stahl Shalom
Department of Orthopaedic Surgery A, Rambam Medical Center, Haifa, Israel.
Clin Orthop Relat Res. 2003 Jun(411):274-9. doi: 10.1097/01.blo.0000069894.31220.a1.
Five patients with soft tissue infection of the lower extremity caused by Vibrio vulnificus after penetrating injuries by fish spines are described. Despite previously reported dismal rates of morbidity and mortality associated with Vibrio septicemia, early measures including wide-spectrum intravenous antibiotics and surgical excision of devitalized tissues resulted in complete resolution in all cases. Although penetrating injury is the common route of infection, indirect seeding may occur by the contamination of open wounds or injury to a limb previously submerged in contaminated water.
本文描述了5例因鱼鳍刺伤后发生创伤弧菌所致下肢软组织感染的患者。尽管先前报道的创伤弧菌败血症相关发病率和死亡率令人沮丧，但包括广谱静脉用抗生素和手术切除失活组织在内的早期措施使所有病例均完全康复。虽然刺伤是常见的感染途径，但间接接种也可能通过开放性伤口污染或先前浸入污染水中的肢体受伤而发生。
