创伤弧菌致左上臂严重皮肤及软组织感染 1 例报告
Severe skin and soft tissue infection in the left upper limb caused by Aeromonas veronii: a case report.
机构信息
Department of Burns, Burn Institute of PLA, The First Affiliated Hospital of Naval Medical University, No. 168 Changhai Road, Yangpu District, Shanghai, 200433, China.
Department of Laboratory Diagnosis, The First Affiliated Hospital of Naval Medical University, No. 168 Changhai Road, Yangpu District, Shanghai, 200433, China.
出版信息
J Med Case Rep. 2023 Jan 30;17(1):29. doi: 10.1186/s13256-023-03770-y.
INTRODUCTION
Skin and soft tissue infections are common because of exposure to aquatic environment, while severe infections caused by Aeromonas veronii are rare.
CASE PRESENTATION
We report a case of severe skin and soft tissue infection of the left upper limb caused by Aeromonas veronii. A 50-year-old Chinese woman, who had a history of cardiac disease and type 2 diabetes mellitus, accidentally injured her left thumb while cutting a fish. Early antibiotic therapy and surgical debridement was performed before the result of bacterial culture came back. Whole-genome sequencing was further performed to confirm the pathogen and reveal the drug resistance and virulence genes. The wound was gradually repaired after 1 month of treatment, and the left hand recovered well in appearance and function after 3 months of rehabilitation.
CONCLUSION
Early diagnosis, surgical intervention, and administration of appropriate antibiotics are crucial for patients who are suspected of having skin and soft tissue infection, or septicemia caused by Aeromonas veronii.
简介
由于接触水生环境，皮肤和软组织感染很常见，而由维氏气单胞菌引起的严重感染则较为罕见。
病例介绍
我们报告了一例由维氏气单胞菌引起的左上肢严重皮肤和软组织感染。一名 50 岁的中国女性，患有心脏病和 2 型糖尿病，在切鱼时意外伤了左手拇指。在细菌培养结果出来之前，进行了早期抗生素治疗和手术清创。进一步进行全基因组测序以确认病原体，并揭示耐药性和毒力基因。经过 1 个月的治疗，伤口逐渐愈合，3 个月的康复后左手的外观和功能恢复良好。
结论
对于疑似皮肤和软组织感染或由维氏气单胞菌引起的败血症的患者，早期诊断、手术干预和适当的抗生素治疗至关重要。
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