因纹身感染导致的感染性休克
septic shock due to a contaminated tattoo.
作者信息
Hendren Nicholas, Sukumar Senthil, Glazer Craig S
出版信息
BMJ Case Rep. 2017 May 27;2017:bcr-2017-220199. doi: 10.1136/bcr-2017-220199.
Abstract
We present a case of septic shock and cellulitis in a patient with chronic liver disease that occurred after obtaining a leg tattoo with subsequent seawater exposure in the Gulf of Mexico. Initial suspicion for was high and he was started on empiric doxycycline and ceftriaxone at admission. Blood and wound cultures grew oxidase positive and comma-shaped Gram-negative rods ultimately confirmed to be Despite aggressive initial treatment, the patient developed septic shock and died. This case highlights the association of chronic liver disease and high mortality associated with infections of Health providers should remain vigilant for infections in patients with chronic liver disease and raw oyster ingestion or seawater exposure.
摘要
我们报告一例慢性肝病患者发生的感染性休克和蜂窝织炎，该患者在墨西哥湾腿部纹身并随后接触海水后发病。入院时对该病的初始怀疑度很高，患者开始接受经验性强力霉素和头孢曲松治疗。血液和伤口培养物生长出氧化酶阳性且呈逗号状的革兰氏阴性杆菌，最终确诊为……尽管最初进行了积极治疗，但患者仍发展为感染性休克并死亡。该病例凸显了慢性肝病与……感染相关的高死亡率之间的关联。医疗人员应对慢性肝病患者且有生食牡蛎或接触海水情况时发生的……感染保持警惕。
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