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一例致命的创伤弧菌蜂窝织炎伴败血症病例。

A fatal case of Vibrio vulnificus cellulitis with septicaemia.

作者信息

Zetti Z R, Norazlah B, Raha A R

机构信息

Department of Medical Microbiology & Immunology, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, 56000 Cheras, Kuala Lumpur, Malaysia.

出版信息

Med J Malaysia. 2009 Sep;64(3):246-7.

Abstract

Vibrio vulnificus is a gram-negative marine bacterium that may cause local wound infection, distinctive soft tissue infection, gastroenteritis and septicaemia with a high mortality rate. A healthy man presented with severe abdominal pain, diarrhoea and fever followed by development of multiple blisters, cellulitis and necrotizing fasciitis of the lower limbs, who progressed rapidly to fulminant sepsis caused by this organism. Vibrio vulnificus septicaemia should be suspected in the presence of sepsis and progressive soft-tissue infection with recent history of raw seafood consumption.

摘要

创伤弧菌是一种革兰氏阴性海洋细菌,可引起局部伤口感染、独特的软组织感染、肠胃炎和败血症,死亡率很高。一名健康男性出现严重腹痛、腹泻和发热,随后下肢出现多个水疱、蜂窝织炎和坏死性筋膜炎,并迅速发展为该病菌引起的暴发性败血症。如果存在败血症以及近期有食用生海鲜史并伴有进行性软组织感染,应怀疑为创伤弧菌败血症。

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