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普通章鱼咬伤致栖稻假单胞菌皮肤溃疡:一例报告并文献复习

Pseudomonas oryzihabitans cutaneous ulceration from Octopus vulgaris bite: a case report and review of the literature.

作者信息

Aigner Birgit Angela, Ollert Markus, Seifert Florian, Ring Johannes, Plötz Sabine Gisela

机构信息

Dermatology Munich-Harlaching, Technical University Munich, Munich, Germany.

出版信息

Arch Dermatol. 2011 Aug;147(8):963-6. doi: 10.1001/archdermatol.2011.83. Epub 2011 Apr 11.

Abstract

BACKGROUND

Octopus vulgaris is a common marine animal that can be found in nearly all tropical and semitropical waters around the world. It is a peaceful sea dweller with a parrotlike beak, and its primary defense is to hide through camouflaging adjustments. Bites from animals of the class Cephalopoda are very rare. We describe a boy who was bitten on his forearm by an Octopus vulgaris.

OBSERVATION

A 9 -year-old boy was bitten by an Octopus vulgaris while snorkeling. There was no strong bleeding or systemic symptoms; however, 2 days later, a cherry-sized, black, ulcerous lesion developed, surrounded by a red circle that did not heal over months and therefore had to be excised. Histologic examination showed ulceration with extensive necrosis of the dermis and the epidermis. A microbial smear revealed Pseudomonas (formerly known as Flavimonas) oryzihabitans. After excision, the wound healed within 2 weeks, without any complications or signs of infection.

CONCLUSIONS

To the best of our knowledge, this case represents the first report of an Octopus vulgaris bite resulting in an ulcerative lesion with slow wound healing owing to P oryzihabitans infection. We recommend greater vigilance regarding bacterial contamination when treating skin lesions caused by marine animals.

摘要

背景

普通章鱼是一种常见的海洋动物,在世界上几乎所有热带和亚热带水域都能发现。它是一种温顺的海洋生物,长着鹦鹉般的喙,其主要防御方式是通过伪装调整来隐藏自己。头足纲动物咬伤非常罕见。我们描述了一名被普通章鱼咬伤前臂的男孩。

观察

一名9岁男孩在浮潜时被普通章鱼咬伤。没有大量出血或全身症状;然而,2天后,出现了一个樱桃大小的黑色溃疡性病变,周围有一个红色圆圈,数月未愈,因此不得不进行切除。组织学检查显示溃疡伴有真皮和表皮的广泛坏死。微生物涂片显示为栖稻假单胞菌(以前称为栖稻黄单胞菌)。切除后,伤口在2周内愈合,没有任何并发症或感染迹象。

结论

据我们所知,本病例是普通章鱼咬伤导致因栖稻假单胞菌感染而伤口愈合缓慢的溃疡性病变的首例报告。我们建议在治疗海洋动物引起的皮肤病变时,对细菌污染保持更高的警惕。

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