Orthopedic Surgery Department, Baylor College of Medicine, Houston, TX.
Orthopedic Surgery Department, Baylor College of Medicine, Houston, TX.
J Hand Surg Am. 2022 Sep;47(9):905.e1-905.e8. doi: 10.1016/j.jhsa.2021.07.033. Epub 2021 Oct 1.
Photobacterium damsela is a gram-negative bacterium that is known to cause infection, most commonly in marine animals and rarely in humans. Photobacterium damsela typically results in skin and soft tissue infections in humans and has been associated with necrotizing fasciitis in several case reports. After an initially benign presentation, P damsela necrotizing fasciitis often progresses rapidly to multiorgan failure and death. Here, we present a fatal case of P damsela necrotizing fasciitis after a minor cut while scaling a fish with a discussion of current literature and treatment strategies.
发光杆菌是一种革兰氏阴性菌,已知会引起感染,最常见于海洋动物,很少发生在人类身上。发光杆菌通常会导致人类的皮肤和软组织感染,并在几例病例报告中与坏死性筋膜炎有关。在最初表现为良性后,P 型发光杆菌坏死性筋膜炎通常迅速发展为多器官衰竭和死亡。在这里,我们报告了一例在刮鱼鳞时小切口后发生的致命性 P 型发光杆菌坏死性筋膜炎病例,并讨论了当前的文献和治疗策略。