一例由……引起的坏死性筋膜炎病例。 （原文中“by”后面内容缺失）
A case of necrotizing fasciitis caused by .
作者信息
Takeda Yuriko, Ota Koshi, Kondo Ayuka, Nishii Tomonobu, Onishi Naoya, Yokoyama Hiroki, Yamakawa Kazuma, Takasu Akira
机构信息
Department of Emergency Medicine, Osaka Medical and Pharmaceutical University, Japan.
出版信息
IDCases. 2022 Dec 22;31:e01667. doi: 10.1016/j.idcr.2022.e01667. eCollection 2023.
BACKGROUND
is an obligate anaerobic gram-positive bacillus mainly found in the gastrointestinal tract of human infants. Few cases of necrotizing fasciitis caused by have been reported.
CASE PRESENTATION
A 42-year-old Japanese man with type 2 diabetes mellitus, obesity, cellulitis of the back, and subcutaneous abscess of the right inguinal region presented with rapidly developing erythema, swelling and severe pain in the right inguinal region. Computed tomography showed widespread gas in the right leg region. Cultures of blood and a swab of the wound abscess grew gram-positive bacilli. Mass spectrography and 16 S rDNA analysis confirmed the gram-positive bacilli as . The patient recovered following extensive debridement and antibacterial therapy.
CONCLUSION
Unidentified necrotizing fasciitis can be caused by , especially in compromised hosts.
背景
[某种细菌名称]是一种专性厌氧革兰氏阳性杆菌，主要存在于人类婴儿的胃肠道中。由[该细菌名称]引起的坏死性筋膜炎病例报道较少。
病例报告
一名42岁的日本男性，患有2型糖尿病、肥胖症、背部蜂窝织炎和右腹股沟区皮下脓肿，出现右腹股沟区迅速发展的红斑、肿胀和剧痛。计算机断层扫描显示右腿区域广泛存在气体。血液培养和伤口脓肿拭子培养长出革兰氏阳性杆菌。质谱分析和16S rDNA分析证实革兰氏阳性杆菌为[该细菌名称]。患者经广泛清创和抗菌治疗后康复。
结论
不明原因的坏死性筋膜炎可能由[该细菌名称]引起，尤其是在免疫功能低下的宿主中。
Zotero 插件