Liao Kuo-Chun, Yen Po-Tsung, Liu Cheng
Chi-Mei Medical Center, Tainan, Taiwan.
J Surg Case Rep. 2010 Sep 1;2010(7):2. doi: 10.1093/jscr/2010.7.2.
We present a case of serious necrotizing fasciitis due to Aeromonas hydrophila without a suggestive history of routes of pathogen invasion in a 60-year-old male. Despite prompt broad-spectrum antibiotic and extensive surgical therapies, the patient died within 72 hours following initial presentation. Our experience suggests clinicians be highly alert to the disease when an immunocompromised patient featured fulminant soft-tissue infection in the endemic area.
我们报告一例由嗜水气单胞菌引起的严重坏死性筋膜炎病例,该病例为一名60岁男性,无提示病原体入侵途径的病史。尽管迅速给予了广谱抗生素治疗和广泛的手术治疗,但患者在初次就诊后72小时内死亡。我们的经验表明,当免疫功能低下的患者在流行地区出现暴发性软组织感染时,临床医生应高度警惕该病。