Department of Anesthesiology, Saitama Cardiovascular and Respiratory Disease Center, 1696 Itai, Kumagaya, Saitama, 360-0105, Japan.
J Infect Chemother. 2012 Aug;18(4):565-8. doi: 10.1007/s10156-011-0338-7. Epub 2011 Nov 9.
A 59-year-old Japanese diabetic woman was admitted to a small private hospital with general malaise, fever, and a 1-month history of low back pain. A computed tomography scan of the abdomen revealed left abdominal necrotizing fasciitis with suspected left psoas muscle abscess. She was transferred to Gunma University Hospital, received antibiotic therapy, and underwent debridement of the infected subcutaneous tissue, fascia, and necrotic left psoas muscle. She was transferred to the intensive care unit to receive mechanical ventilation and inotropic support. Blood culture showed growth of Klebsiella pneumoniae, from which hypermucoviscosity was detected by the string test. She was extubated on day 5 of hospitalization and transferred to a general ward on day 14. Free skin grafting was performed on day 76, and she was discharged on day 134 without any complications.
一位 59 岁的日本糖尿病女性因全身不适、发热和 1 个月的腰痛而入住一家小型私立医院。腹部的计算机断层扫描显示左侧腹部坏死性筋膜炎伴左侧腰大肌脓肿的可疑。她被转至群马大学医院，接受抗生素治疗，并进行了感染的皮下组织、筋膜和坏死的左腰大肌清创术。她被转至重症监护病房接受机械通气和正性肌力支持。血培养显示肺炎克雷伯菌生长，该菌通过 string 试验检测出高黏液性。她在住院的第 5 天拔管，并在第 14 天转至普通病房。游离皮片移植于第 76 天进行，她于第 134 天无任何并发症出院。
