Tang W M, Fung K K, Cheng V C, Lucke L
Department of Orthopaedics and Traumatology, Queen Mary Hospital, University of Hong Kong, Hong Kong.
J Orthop Surg (Hong Kong). 2006 Apr;14(1):67-70. doi: 10.1177/230949900601400115.
Two patients developed rapidly progressive necrotising fasciitis after being stung by a stonefish. Both were given a hot-water bath for pain relief. The hot water may have accelerated bacterial growth and the consequent development of necrotising fasciitis. Vibrio vulnificus was cultured from one patient. It is recommended that patients should receive high dose of oral and intravenous antibiotic prophylaxis for vibrio prevention. Antibiotics should be given before or during, not after, a hot-water bath, and the patient's condition should be monitored closely.
两名患者被石鱼蜇伤后患上了快速进展性坏死性筋膜炎。两人都接受了热水浴以缓解疼痛。热水可能加速了细菌生长以及随后坏死性筋膜炎的发展。从一名患者身上培养出了创伤弧菌。建议患者应接受高剂量口服和静脉注射抗生素预防以预防弧菌感染。抗生素应在热水浴之前或期间给予，而非之后，并且应对患者的病情进行密切监测。
