Yoshida Juichiro, Nakamura Hideki, Yamada Shinya, Sekoguchi Satoru, Suzuki Takahiro, Tomatsuri Naoya, Sato Hideki, Okuyama Yusuke, Kimura Hiroyuki, Yoshida Norimasa
Department of Gastroenterology, Japanese Red Cross Kyoto Daiichi Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2015 Feb;112(2):332-8. doi: 10.11405/nisshoshi.112.332.
A 66-year-old man was admitted to our hospital with high fever. We diagnosed a gas-containing liver abscess and performed percutaneous abscess drainage. However, 15 hours after admission, he developed massive intravascular hemolysis and acidosis. Sepsis due to Clostridium perfringens was suspected and we treated the patient intensively with multidisciplinary approaches, including antibiotics, mechanical ventilation, and renal replacement therapy. Furthermore, we administered freeze-dried gas gangrene antitoxin. Despite intensive care, the patient died 43 hours after admission.
一名66岁男性因高热入院。我们诊断为含气肝脓肿并进行了经皮脓肿引流。然而,入院15小时后,他出现了大量血管内溶血和酸中毒。怀疑是产气荚膜梭菌引起的败血症,我们采用多学科方法对患者进行了强化治疗,包括使用抗生素、机械通气和肾脏替代治疗。此外,我们还给予了冻干气性坏疽抗毒素。尽管进行了重症监护,患者仍在入院43小时后死亡。