作为污染伤口的晚期后果，出现无气性坏疽的败血梭状芽孢杆菌菌血症。
Clostridium septicum bacteremia without gas gangrene as a late consequence of a contaminated wound.
作者信息
Woolley Ian J, Love Robert L, Street Alan C
机构信息
Department of Orthopaedics, Royal Melbourne Hospital, Parkville, Victoria 3052, Australia.
出版信息
Surg Infect (Larchmt). 2004 Fall;5(3):315-7. doi: 10.1089/sur.2004.5.315.
BACKGROUND
Clostridium septicum is an unusual human pathogen associated with colorectal malignancy and gas gangrene.
METHODS
A case compilation and literature review are presented.
RESULTS
We report the case of an individual with a comminuted tibial fracture complicated by a superficial surgical site infection with C. septicum nine weeks after the original injury and internal fixation, which was complicated by a secondary bacteremia.
CONCLUSIONS
This is a unique case in the literature, but it is suggested that the use of cephalosporins as prophylaxis for contaminated wounds may be inferior to penicillins to prevent clostridial infections.
背景
败血梭菌是一种与结直肠癌和气性坏疽相关的罕见人类病原体。
方法
进行病例汇编和文献综述。
结果
我们报告了一例患者，其胫骨粉碎性骨折，在初次受伤和内固定九周后并发浅表手术部位败血梭菌感染，并继发菌血症。
结论
这是文献中独一无二的病例，但有人认为，使用头孢菌素预防污染伤口可能不如青霉素预防梭菌感染有效。
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