重症监护病房中的坏疽性脓皮病与铜绿假单胞菌败血症
[Ecthyma gangrenosum and Pseudomonas aeruginosa septicemia in intensive care unit].
作者信息
Befort P, Corne P, Riviere B, Bourdin A, Jonquet O
机构信息
Service de réanimation médicale assistance respiratoire, hôpital Gui-de-Chauliac, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
出版信息
Ann Fr Anesth Reanim. 2011 Jan;30(1):80-2. doi: 10.1016/j.annfar.2010.11.004. Epub 2010 Dec 14.
We report a case of a Pseudomonas aeruginosa septicemia complicated by a septic shock after chemotherapy for pulmonary cancer. Bilateral legs necrotic purpura corresponding to echtyma gangrenosum lesions (erythematous inflammatory halo, positive bacteriologic cutaneous biopsy) was noted 48 h previous to the shock. Echtyma gangrenosum manifestation should alert physician to P. aeruginosa septicemia risk and can be useful to guide probabilist antibiotherapy.
我们报告一例肺癌化疗后并发感染性休克的铜绿假单胞菌败血症病例。在休克前48小时发现双侧腿部坏死性紫癜，对应于坏疽性臁疮病变（红斑性炎症晕，皮肤细菌学活检阳性）。坏疽性臁疮表现应提醒医生注意铜绿假单胞菌败血症风险，并有助于指导经验性抗菌治疗。
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