Department of Infectious Diseases, Tokyo Women's Medical University;
Division of Biomedical Food Research, National Institute of Health Sciences, Tokyo, Japan.
Can J Infect Dis Med Microbiol. 2015 Jan-Feb;26(1):44-6. doi: 10.1155/2015/501386.
A 70-year-old man with a history of tongue cancer presented with Fournier's gangrene caused by Listeria monocytogenes serotype 4b. Surgical debridement revealed undiagnosed rectal adenocarcinoma. The patient did not have an apparent dietary or travel history but reported daily consumption of sashimi (raw fish). Old age and immunodeficiency due to rectal adenocarcinoma may have supported the direct invasion of L monocytogenes from the tumour. The present article describes the first reported case of Fournier's gangrene caused by L monocytogenes. The authors suggest that raw ready-to-eat seafood consumption be recognized as a risk factor for listeriosis, especially in cases of skin and soft tissue infection.
一位 70 岁男性，有舌癌病史，因单核细胞增生李斯特菌血清型 4b 引起的福尼尔坏疽就诊。手术清创发现未诊断的直肠腺癌。患者无明显饮食或旅行史，但报告称每天食用生鱼片（生鱼）。由于直肠腺癌导致的高龄和免疫功能低下可能支持李斯特菌直接从肿瘤侵袭。本文描述了首例单核细胞增生李斯特菌引起的福尼尔坏疽的报道。作者建议将生食即食海鲜的消费视为李斯特菌病的一个危险因素，特别是在皮肤和软组织感染的情况下。
