Igeta Ryuhei, Hsu Hsiang-Chin, Suzuki Michio, Lefor Alan T, Tsukuda Jumpei, Endo Takuro, Tanii Rimi, Taira Yasuhiko, Fujitani Shigeki
Department of Emergency and Critical Care Medicine St. Marianna University Hospital Kanagawa Japan.
Department of Emergency Medicine College of Medicine National Cheng Kung University Hospital National Cheng Kung University Tainan City Taiwan.
Acute Med Surg. 2020 Jan 1;7(1):e474. doi: 10.1002/ams2.474. eCollection 2020 Jan-Dec.
Purpura fulminans secondary to () infection without a wound is rare and often misdiagnosed initially. We report a patient who died due to bacteremia with purpura fulminans and acute compartment syndrome of all extremities.
A 38-year-old Japanese man with a history of alcoholism presented with a 2-day history of gastroenteritis. The chief complaints were abdominal pain and diarrhea, and he had abdominal tenderness. Laboratory findings showed multiple organ failure. On day 2, pain in the lower extremities associated with motor and sensory dysfunction developed. On day 3, purpura on the whole body spread to all extremities. All four extremities became rigid, and acute compartment syndrome developed. The patient died due to uncontrolled hyperkalemia and lactic acidosis.
transmission can occur through licking or even close contact with animals when a risk factor of infection, such as alcoholism, is present.
无伤口的（）感染继发暴发性紫癜罕见，且最初常被误诊。我们报告一例因菌血症合并暴发性紫癜和四肢急性筋膜间室综合征死亡的患者。
一名38岁有酗酒史的日本男性，出现2天的肠胃炎病史。主要症状为腹痛和腹泻，有腹部压痛。实验室检查结果显示多器官功能衰竭。第2天，出现伴有运动和感觉功能障碍的下肢疼痛。第3天，全身紫癜蔓延至四肢。四肢均变得僵硬，出现急性筋膜间室综合征。患者因无法控制的高钾血症和乳酸酸中毒死亡。
当存在如酗酒等（）感染的危险因素时，（病原体）可通过舔舐甚至与动物密切接触传播。
