Ryan James M, Truelove Elizabeth, Sabatino Matthew, Peters Stephen, Kessler Michael
Department of Orthopedic Surgery, Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ.
Department of Orthopedics, University of Pittsburgh Medical Center, Pittsburgh, PA.
J Hand Surg Am. 2018 Jan;43(1):87.e1-87.e4. doi: 10.1016/j.jhsa.2017.07.008. Epub 2017 Aug 26.
Shewanella putrefaciens, a gram-negative bacillus, ubiquitous in marine environments, is an opportunistic agent reported to cause rare human infection, most commonly in patients who are immunocompromised or who have a preexisting soft tissue defect. We present an immunocompetent, 40-year-old woman with a soft tissue infection of the left palm caused by S. putrefaciens. The patient's infection was complicated by the presence of retained foreign bodies, seashell fragments, from a traumatic fall. Following appropriate evaluation and surgical treatment, our patient experienced a successful outcome with no recurrence of infection or deficit in the affected hand. This case report complements the growing literature regarding morbidity attributed to S. putrefaciens infection.
腐败希瓦氏菌是一种革兰氏阴性杆菌,在海洋环境中广泛存在,是一种据报道可引起罕见人类感染的机会致病菌,最常见于免疫功能低下或已有软组织缺损的患者。我们报告一例40岁免疫功能正常的女性,其左手掌软组织感染由腐败希瓦氏菌引起。患者的感染因外伤跌倒后残留的异物贝壳碎片而复杂化。经过适当评估和手术治疗,我们的患者取得了成功的结果,感染未复发,患手也无功能缺陷。本病例报告补充了关于腐败希瓦氏菌感染所致发病率的不断增加的文献。