Lowen R M, Rodgers C M, Ketch L L, Phelps D B
Division of Plastic Surgery, University of Colorado Health Sciences Center, Denver.
J Hand Surg Am. 1989 Jul;14(4):714-8. doi: 10.1016/0363-5023(89)90197-4.
Two cases of thumb replantation and one of finger revascularization complicated by Aeromonas hydrophila infection are reported. Two digits were lost because of infection in soft tissue and osteomyelitis. One thumb had extensive necrosis. In all cases the infection was difficult to eradicate, probably because of ischemia. All three patients sustained their injuries while cutting meat or fish. These infection sources have not been previously reported. Note is made of Aeromonas hydrophila in medicinal leeches that are used in microvascular surgery and the potential for iatrogenic infection.
报告了2例拇指再植和1例手指血管重建并发嗜水气单胞菌感染的病例。2个手指因软组织感染和骨髓炎而丧失。1例拇指发生广泛坏死。在所有病例中，感染都难以根除，可能是由于缺血所致。所有3例患者均在切肉或鱼时受伤。这些感染源此前未见报道。文中提到了微血管手术中使用的药用蚂蟥体内的嗜水气单胞菌以及医源性感染的可能性。
