一例坏死性软组织感染的超超级肥胖（BMI>80）患者的致死病例。
A Fatal Case of Super-super Obesity (BMI >80) in a Patient with a Necrotic Soft Tissue Infection.
作者信息
Yoshizawa Toshihiko, Ishikawa Kouhei, Nagasawa Hiroki, Takeuchi Ikuto, Jitsuiki Kei, Omori Kazuhiko, Ohsaka Hiromichi, Yanagawa Youichi
机构信息
Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan.
出版信息
Intern Med. 2018 May 15;57(10):1479-1481. doi: 10.2169/internalmedicine.9277-17. Epub 2018 Jan 11.
A 35-year-old man (height, 169 cm; body weight, 240 kg; BMI, 84) visited the Department of Dermatology due to left leg pain and swelling. Focused enhanced computed tomography (CT) of the left leg ruled out complications of deep venous thrombosis. Surgical exploration of the left leg resulted in a diagnosis of necrotic soft tissue infection, but amputation was ruled out due to his weight. The patient ultimately died of multiple organ failure on the fourth day of hospitalization. A culture of the surgical material revealed Streptococcus dysgalactiae. The present case suggests that super-obese patients should be aggressively treated before lethal complications occur.
一名35岁男性（身高169厘米，体重240千克，BMI为84）因左腿疼痛和肿胀就诊于皮肤科。左腿的针对性增强计算机断层扫描（CT）排除了深静脉血栓形成的并发症。对左腿进行手术探查后诊断为坏死性软组织感染，但由于其体重原因排除了截肢。患者最终在住院第四天死于多器官功能衰竭。手术材料培养显示为停乳链球菌。本病例提示，对于超级肥胖患者应在致命并发症发生前积极进行治疗。
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