Hosoda Tomohiro, Yanagisawa Naoki, Morioka Hiroshi, Suganuma Akihiko, Imamura Akifumi, Ajisawa Atsushi
Department of Infectious Diseases, Tokyo Metropolitan Komagome Hospital.
Kansenshogaku Zasshi. 2013 Mar;87(2):211-4. doi: 10.11150/kansenshogakuzasshi.87.211.
We report on a previously healthy 56-year-old woman who was referred to our hospital with fever and progressive left foot pain. She had been bitten by a cat 7 days previously, and cephalosporins had been prescribed for treatment. However, her clinical symptoms deteriorated, and physical examination on admission was compatible with necrotizing fasciitis. Treatment with ampicillin-sulbactam and clindamycin was initiated. In addition, immediate surgical debridement was performed, resulting in therapeutic success. Culture of the necrotizing tissue grew multiple organisms, including Pasteurella multocida and Bacteroides caccae. Administration of appropriate antibiotics after a cat bite is essential for the prevention of potentially fatal complications.
我们报告了一名既往健康的56岁女性，她因发热和进行性左脚疼痛被转诊至我院。7天前她被猫咬伤，当时已开具头孢菌素进行治疗。然而，她的临床症状恶化，入院时体格检查符合坏死性筋膜炎。开始使用氨苄西林-舒巴坦和克林霉素进行治疗。此外，立即进行了手术清创，治疗取得成功。坏死组织培养出多种微生物，包括多杀巴斯德菌和粪拟杆菌。猫咬伤后使用适当的抗生素对于预防潜在的致命并发症至关重要。
