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一名患有酒精性肝病和糖尿病的患者因[病因未提及]导致坏死性筋膜炎的致命病例。

Fatal case of necrotising fasciitis due to in a patient with alcoholic liver disease and diabetes mellitus.

作者信息

Bhat Prasanna, Bhaskar Maanasa, Sistla Sujatha, Kadhiravan Tamilarasu

机构信息

Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Internal Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

出版信息

BMJ Case Rep. 2019 Jan 17;12(1):bcr-2018-227851. doi: 10.1136/bcr-2018-227851.

Abstract

is a halophilic found globally. They are thought to be normal microbiome in the estuaries along the coasts associated with seawater and seashells. Infection usually results from consumption of raw oysters or shellfish or exposure of broken skin or open wounds to contaminated salt or brackish water. Clinical manifestations range from gastroenteritis to skin and subcutaneous infection and primary sepsis. Pathogen has the ability to cause infections with significant mortality in high-risk populations, including patients with chronic liver disease, immunodeficiency, diabetes mellitus and iron storage disorders. There is often a lack of clinical suspicion in cases due to leading to delay in treatment and subsequent mortality. Herein we report a case of necrotising fasciitis in a diabetic patient with alcoholic liver disease caused by which ended fatally.

摘要

是一种在全球范围内发现的嗜盐菌。它们被认为是沿海河口与海水和贝壳相关的正常微生物群落。感染通常是由于食用生牡蛎或贝类,或破损皮肤或开放性伤口接触受污染的盐或微咸水所致。临床表现从肠胃炎到皮肤和皮下感染以及原发性败血症不等。该病原体有能力在高危人群中引起感染并导致显著死亡率,包括慢性肝病、免疫缺陷、糖尿病和铁储存障碍患者。由于……,病例中往往缺乏临床怀疑,导致治疗延迟及随后的死亡。在此,我们报告一例由……引起的酒精性肝病糖尿病患者发生坏死性筋膜炎并最终死亡的病例。

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