脓毒症导致一名长期使用阿片类药物的50岁男性发生暴发性紫癜。
sepsis causing purpura fulminans in a 50-year-old man with chronic opioid use.
作者信息
Hogge Christopher, Holzman Miriam, Khurana Sahiba, Brankovic Milos, Chang Chrystal, Fernandez Gabriel, Finkel Diana
机构信息
Department of Medicine, Division of Infectious Diseases, Rutgers New Jersey Medical School, Newark, NJ 07103, USA.
Department of Urology, Rutgers New Jersey Medical School, Newark, NJ 07103, USA.
出版信息
IDCases. 2022 May 27;29:e01505. doi: 10.1016/j.idcr.2022.e01505. eCollection 2022.
We present a case of polymicrobial sepsis with spp. complicated by purpura fulminans following a dog-bite in a 50-year-old-man with an extensive history of opioid use disorder. Generally, severe cases are thought to occur in patients with underlying immune deficiencies. However, this case highlights the importance of maintaining clinical suspicion for infection in immunocompetent patients, and we discuss the role of chronic opioid-use in severe infection.
我们报告一例50岁男性因犬咬伤后发生多微生物败血症合并爆发性紫癜的病例，该患者有长期阿片类药物使用障碍病史。一般认为，严重病例发生在有潜在免疫缺陷的患者中。然而，该病例凸显了对免疫功能正常患者的感染保持临床怀疑的重要性，并且我们讨论了慢性阿片类药物使用在严重感染中的作用。
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