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经皮感染可能导致的感染性休克:一例报告。

Septic shock due to potentially caused by percutaneous infection: A case report.

作者信息

Kohno Hiroki, Omoto Takuji, Taniguchi Tomohiro

机构信息

Department of Rheumatology, Medical Corporation JR Hiroshima Hospital, Japan.

Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Japan.

出版信息

IDCases. 2023 Jul 2;33:e01836. doi: 10.1016/j.idcr.2023.e01836. eCollection 2023.

Abstract

is a Gram-negative rod that was isolated from Japanese paddy rice, and few cases of infections due to trauma, catheters, or contaminated infusion products have been reported. We report a case of infection in an older patient who developed septic shock due to during hospitalization after treatment for aspiration pneumonia. Since signs of infection were seen at the skin epidermal exfoliation site, which had been present since admission, this was considered to be the route of infection. The patient recovered on treatment with piperacillin. It was suggested that can infect minor wounds in older individuals and lead to sepsis, even if the infection is not caused by a medical device or from severe trauma from an accident. This means that even small wounds, especially in older individuals, should be treated with caution, and a full body examination, including the skin, is essential even at the onset of sepsis. Although has been identified as in many cases by conventional bacterial identification tests, it is expected that more cases will be accurately identified with the widespread use of polymerase chain reaction and mass spectrometry.

摘要

是一种从日本水稻中分离出的革兰氏阴性杆菌,因创伤、导管或受污染的输液产品导致感染的病例报道较少。我们报告一例老年患者感染病例,该患者在因吸入性肺炎接受治疗后住院期间因[该细菌名称未给出]发生感染性休克。由于自入院以来就在皮肤表皮剥脱部位发现感染迹象,因此认为这是感染途径。患者经哌拉西林治疗后康复。提示[该细菌名称未给出]可感染老年人的轻微伤口并导致败血症,即使感染不是由医疗设备引起或不是由事故导致的严重创伤引起。这意味着即使是小伤口,尤其是老年人的小伤口,也应谨慎处理,即使在败血症发作时,包括皮肤在内的全身检查也是必不可少的*。尽管在许多情况下通过传统细菌鉴定试验已将[该细菌名称未给出]鉴定为[另一种细菌名称未给出],但随着聚合酶链反应和质谱技术的广泛应用,预计将有更多病例被准确鉴定。

*原英文文本中存在一些信息缺失,如细菌名称未完整给出等情况,在翻译时按照原文呈现,可能会造成中文译文部分内容理解不完整,但完全忠实于原文翻译要求。

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