Doğanay M, Bakir M, Dökmetaş I
Department of Infectious Diseases, Faculty of Medicine, Cumhuriyet University, Turkey.
Br J Dermatol. 1987 Nov;117(5):659-62. doi: 10.1111/j.1365-2133.1987.tb07500.x.
We describe a patient who presented with a necrotic black eschar 2 x 2 cm on the neck, extensive erythema around the lesion and massive oedema extending from the lesion to the umbilicus, and involving the whole face. Severe toxaemia and shock developed. Bacillus anthracis was isolated from the lesion. Prednisolone and dopamine failed to reverse the shock. The patient recovered completely with penicillin therapy.
我们描述了一名患者,其颈部出现一块2×2厘米的坏死黑色焦痂,病变周围有广泛的红斑,且有大量水肿从病变处延伸至脐部,并累及整个面部。出现了严重的毒血症和休克。从病变处分离出炭疽芽孢杆菌。泼尼松龙和多巴胺未能逆转休克。患者经青霉素治疗后完全康复。