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一例多杀巴斯德菌多杀亚种合并糖尿病病例

[A case of Pasteurella multocida subsp. multocida complicated with diabetes mellitus].

作者信息

Yada T, Arashima Y, Kawano K, Fukui T

机构信息

Department of Internal Medicine, Azusawa Hospital.

出版信息

Kansenshogaku Zasshi. 1991 Oct;65(10):1365-8. doi: 10.11150/kansenshogakuzasshi1970.65.1365.

Abstract

We report a case of sepsis who died caused by Pasteurella multocida subsp. multocide sepsis. A 68-year-old male was admitted to Azusawa Hospital because of disturbance of consciousness. He had been suffering from diabetes mellitus combined with gangrene, but received no treatment. The patient died 24 h after hospitalization, and Pasteurella multocida subsp. multocida was isolated from his blood. Laboratory tests showed that CRP; 5+ WBC; 15,400/microliters, TP; 5.2 g/dl. Although Pasteurella multicida subsp. multocida seemed to cause mild infection in healthy subjects, it can cause severe systemic illnesses such as sepsis and meningitis in compromised hosts. It should be considered that the contact with pets will increase the incidence of systemic severe infection with this agents.

摘要

我们报告一例由多杀巴斯德菌多杀亚种败血症导致死亡的脓毒症病例。一名68岁男性因意识障碍入住阿祖泽瓦医院。他患有糖尿病合并坏疽,但未接受治疗。患者住院24小时后死亡,血液中分离出多杀巴斯德菌多杀亚种。实验室检查显示,CRP为5+,白细胞为15400/微升,总蛋白为5.2克/分升。虽然多杀巴斯德菌多杀亚种在健康受试者中似乎引起轻度感染,但在免疫功能低下的宿主中可导致严重的全身性疾病,如脓毒症和脑膜炎。应考虑与宠物接触会增加这种病原体引起全身性严重感染的发生率。

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