Schoeffler M, Crozon J, Levrat A, Guillaume C, Floccard B, Allaouchiche B
Service de réanimation, pavillon G, département d'anesthésie-réanimation, hôpital Edouard-Herriot, Lyon, France.
Ann Fr Anesth Reanim. 2006 Mar;25(3):309-11. doi: 10.1016/j.annfar.2005.11.004. Epub 2005 Dec 19.
Bacteremic pasteurellosis is an uncommon form of Pasteurella multocida infection, usually involved in local infections. This systemic infection often occurs in immuno-compromised patient such as cirrhotic or alcoholic patients, with a high mortality rate (up to 60%). Septic shock may occur and neurological disorders or coma are frequent. We report such a case. Treatment associated local care, antibiotics (beta-lactam antibiotics plus fluoroquinolone) during 14 days and resuscitation of septic shock. Owing these therapies, septic shock was successfully treated without complications.
败血性巴氏杆菌病是多杀性巴氏杆菌感染的一种罕见形式，通常涉及局部感染。这种全身性感染常发生在免疫功能低下的患者，如肝硬化或酗酒患者中，死亡率很高（高达60%）。可能会发生感染性休克，神经功能障碍或昏迷也很常见。我们报告了这样一例病例。治疗包括局部护理、使用抗生素（β-内酰胺类抗生素加氟喹诺酮类）治疗14天以及对感染性休克进行复苏。由于采用了这些治疗方法，感染性休克得到了成功治疗，且无并发症发生。
