Goodell Kristen H, Jordan Michael R, Graham Roger, Cassidy Charles, Nasraway Stanley A
Department of Surgery, Tufts-New England Medical Center, Tufts University School of Medicine, Boston, MA, USA.
Crit Care Med. 2004 Jan;32(1):278-81. doi: 10.1097/01.CCM.0000104920.01254.82.
To describe the first case of Vibrio damsela necrotizing fasciitis in New England, emphasizing the importance of very early operative intervention to achieve source control in this extremely aggressive infection.
Case report.
Surgical intensive care unit at Tufts-New England Medical Center in Boston, MA.
A 69-yr-old retired fisherman with rapidly progressive necrotizing fasciitis from Photobacterium (Vibrio) damsela infection and ensuing multiple-system organ failure.
Surgical debridement, ventilator support, vasopressors, continuous veno-venous hemofiltration, and blood product transfusions.
Death.
A high index of suspicion is necessary for the diagnosis of this specific pathogen and concordant infection. The willingness to surgically debride and amputate without hesitation at a very early point may be the only intervention capable of saving the lives of patients affected by Photobacterium (Vibrio) damsela.
描述新英格兰地区首例美人鱼弧菌坏死性筋膜炎病例，强调极早期手术干预对控制这种极具侵袭性感染源的重要性。
病例报告。
马萨诸塞州波士顿塔夫茨新英格兰医疗中心的外科重症监护病房。
一名69岁退休渔民，因美人鱼发光杆菌（弧菌属）感染导致快速进展的坏死性筋膜炎，并继而出现多系统器官衰竭。
手术清创、呼吸机支持、血管活性药物、持续静脉-静脉血液滤过及输血治疗。
死亡。
对于这种特定病原体及相关感染的诊断，必须保持高度怀疑指数。在极早期毫不犹豫地进行手术清创和截肢的意愿，可能是挽救受美人鱼发光杆菌（弧菌属）感染患者生命的唯一干预措施。
Zotero 插件