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大肠杆菌菌血症诱发的暴发性紫癜：一例报告

Escherichia coli Bacteremia-induced Purpura Fulminans: A Case Report.

作者信息

Ahmed Mohamed, Samotowka Michael, Habis Saba, Mahmoud Ahmed, Saeed Rasha

机构信息

Surgery, Riverside Community Hospital / Envision Healthcare, Riverside, USA.

Surgery, Jackson Memorial Hospital, Jacksonville, USA.

出版信息

Cureus. 2018 Nov 26;10(11):e3638. doi: 10.7759/cureus.3638.

DOI:10.7759/cureus.3638
PMID:30723639
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6351005/
Abstract

Purpura fulminans (PF) is a dermatologic manifestation of an underlying life-threatening condition associated with disseminated intravascular coagulation and skin necrosis. The known categories include protein C deficiency or abnormalities of other coagulation systems (inherited or acquired), acute infectious PF and idiopathic. We describe a case of PF induced by associated bacteremia.

摘要

暴发性紫癜（PF）是一种潜在危及生命状况的皮肤表现，与弥散性血管内凝血和皮肤坏死相关。已知类别包括蛋白C缺乏或其他凝血系统异常（遗传性或获得性）、急性感染性PF和特发性。我们描述了一例由相关菌血症诱发的PF病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/6351005/dfff8441c3a7/cureus-0010-00000003638-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/6351005/c3d6769e18fe/cureus-0010-00000003638-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/6351005/23203b94ac65/cureus-0010-00000003638-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/6351005/8a5eabf8f200/cureus-0010-00000003638-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/6351005/dfff8441c3a7/cureus-0010-00000003638-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/6351005/c3d6769e18fe/cureus-0010-00000003638-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/6351005/23203b94ac65/cureus-0010-00000003638-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/6351005/8a5eabf8f200/cureus-0010-00000003638-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/6351005/dfff8441c3a7/cureus-0010-00000003638-i04.jpg

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本文引用的文献

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Group A Escherichia coli-related purpura fulminans: an unusual manifestation due to an unusual strain?A组大肠杆菌相关性暴发性紫癜：由一种罕见菌株引起的罕见表现？
J Clin Microbiol. 2014 Dec;52(12):4404-6. doi: 10.1128/JCM.01362-14. Epub 2014 Sep 17.
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Microbes Infect. 2003 Apr;5(5):449-56. doi: 10.1016/s1286-4579(03)00049-2.
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Crit Care Med. 2000 Jul;28(7):2373-8. doi: 10.1097/00003246-200007000-00032.
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Pediatr Infect Dis J. 1999 Oct;18(10):893-6. doi: 10.1097/00006454-199910000-00011.
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Recombinant tissue plasminogen activator restores perfusion in meningococcal purpura fulminans.重组组织型纤溶酶原激活剂可恢复暴发性脑膜炎球菌性紫癜的灌注。
Crit Care Med. 1997 Jun;25(6):1079-82. doi: 10.1097/00003246-199706000-00028.