Sun Yi, Lin Yu-Ze, Chen Zeng-Gan
Zhongshan Hospital, Fudan University, Shanghai, China.
Int J Low Extrem Wounds. 2023 Mar;22(1):152-155. doi: 10.1177/1534734620973992. Epub 2020 Nov 23.
is a deadly marine pathogen that can cause necrotizing fasciitis, septic shock, and even death in severe cases. The relatively low incidence and atypical early-stage symptoms may hinder many physicians from carrying out surgical intervention effectively, thus leading to an increase of mortality in infected patients. This article reported a patient who developed necrotizing fasciitis and septic shock after the exposure to freshwater shrimp stabbed on the limb. By reviewing and analyzing previous studies, it was found out that the timing of surgery could have a significant impact on the patients for their necrotizing fasciitis caused by infection. The mortality among patients undergoing early-stage surgical treatment (≤12 hours from the time of admission) was significantly lower than that of patients undergoing late surgical treatment (>12 hours).
是一种致命的海洋病原体，可导致坏死性筋膜炎、感染性休克，严重时甚至会导致死亡。相对较低的发病率和非典型的早期症状可能会阻碍许多医生有效地进行手术干预，从而导致感染患者死亡率上升。本文报道了一名患者，其肢体被淡水虾刺伤后发生了坏死性筋膜炎和感染性休克。通过回顾和分析以往的研究发现，手术时机对感染所致坏死性筋膜炎患者可能有重大影响。早期手术治疗（入院后≤12小时）患者的死亡率明显低于晚期手术治疗（>12小时）的患者。
