Peloux Y, Argeme M, Estrangin E, Tramier D
Sem Hop. 1979;55(5-6):298-300.
The authors report a case of a severe mixed infection (phlegmon of the fore arm) succeeding to a dog bite. A complex flora has been isolated from this phlegmom : Pasteurella multocida, Pasteurella pneumotropica, Streptococcus mitis, Actinomyces sp., Bacteroides melaninogenicus, and a Gram- bacteria related to group II j. The pathogeny of such diseases is discussed, dwelling in one hand on the part of synergistic development of these various germs and in the other hand on the part played by saliva in the severity of animal or human bites. This kind of wound requires careful disinfection and radical debridment without omitting a preventive broad-spectrum antibiotherapy.
作者报告了一例犬咬伤后继发严重混合感染（前臂蜂窝织炎）的病例。从该蜂窝织炎中分离出了复杂的菌群：多杀巴斯德菌、嗜肺巴斯德菌、缓症链球菌、放线菌属、产黑色素拟杆菌以及一种与Ⅱj组相关的革兰氏阴性菌。文中讨论了此类疾病的发病机制，一方面阐述了这些不同细菌协同发展所起的作用，另一方面说明了唾液在动物或人类咬伤严重程度中所起的作用。这种伤口需要仔细消毒和彻底清创，同时不能忽略预防性的广谱抗生素治疗。
