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蝰蛇咬伤后多杀巴斯德菌坏死性筋膜炎并发败血症和肾衰竭。

Post viper bite Pasteurella multocida necrotizing fasciitis complicates with septicaemia and renal failure.

作者信息

Nadiyah A, Azira N M S, Nazli Z, Zeehaida M

机构信息

Department of Microbiology, Hospital Raja Perempuan Zainab II, Kota Bahru, Kelantan.

Drug Discovery and Health Core, Universiti Teknologi Mara, 40450, Shah Alam, Selangor.

出版信息

Trop Biomed. 2015 Dec 1;32(4):608-612.

Abstract

Necrotizing fasciitis is a rare, severe and rapidly progressive life-threatening clinical disease which is commonly caused by streptococci. However, the disease caused by Pasteurella multocida is infrequently reported. Here, we report a rare case of a 85-year-old Malay man who developed septicaemia secondary to necrotizing fasciitis post viper bite. P. multocida was isolated from pus, tissue and blood cultures. A post viper bite was the only risk factor and to the best of our knowledge, this is the first reported case of P. multocida necrotizing fasciitis secondary to viper bite.

摘要

坏死性筋膜炎是一种罕见、严重且进展迅速的危及生命的临床疾病,通常由链球菌引起。然而,由多杀巴斯德菌引起的这种疾病鲜有报道。在此,我们报告一例罕见病例,一名85岁的马来男性在被毒蛇咬伤后发生继发于坏死性筋膜炎的败血症。从脓液、组织和血培养中分离出多杀巴斯德菌。被毒蛇咬伤是唯一的危险因素,据我们所知,这是首例报道的继发于毒蛇咬伤的多杀巴斯德菌坏死性筋膜炎病例。

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