Froberg Lonnie, Kristensen Sune
Fredericia og Kolding Sygehuse, Ortopaedkirurgisk Afdeling.
Ugeskr Laeger. 2008 May 26;170(22):1941.
A 63-year-old man was admitted to hospital. He had a history of splenectomy secondary to trauma, previous alcohol abuse, cirrhosis and oesophagus varices. The patient had been bitten by a dog three days before admittance. He rapidly developed disseminated intravascular coagulation and multiple organ dysfunction. Six days after the bite, the patient died despite antibiotic treatment. The gram-negative rod Capnocytophaga canimorsus was found in the blood culture. This case emphasizes the importance of early diagnosis and prompt treatment of infections in post-splenectomy patients as they carry a greater-than-normal risk of serious complications.
一名63岁男性入院。他有因外伤行脾切除术史、既往酗酒史、肝硬化和食管静脉曲张。患者在入院前三天被狗咬伤。他迅速发展为弥散性血管内凝血和多器官功能障碍。咬伤后六天,尽管接受了抗生素治疗,患者仍死亡。血培养中发现革兰氏阴性杆菌犬咬二氧化碳嗜纤维菌。该病例强调了脾切除术后患者感染早期诊断和及时治疗的重要性,因为他们发生严重并发症的风险高于正常水平。