Ahsen Ahmad, Korsun Philip, Albahra Fadi, Nair Ranjit, Tariq Zain
Department of Internal Medicine, Medical City Fort Worth, Fort Worth, TX, USA.
Department of Critical Care, Medical City Fort Worth, Fort Worth, TX, USA.
Case Rep Infect Dis. 2023 Oct 16;2023:9917898. doi: 10.1155/2023/9917898. eCollection 2023.
Here, we present a unique case of a 38-year-old male with a history of alcohol use disorder and multiple sexual partners, who presented with fulminant sepsis with shock, multiorgan failure, and livedo racemosa after a dog bite the week prior. The patient was intubated on arrival and was started on vasopressors and antibiotics. Eventually, the patient's clinical status improved, and he was transferred out of the intensive care unit. Blood cultures tested positive for oxidase-positive Gram-negative rods two days after collection, and species identification showed .
在此,我们报告一例独特病例,一名38岁男性,有酒精使用障碍病史且有多个性伴侣,在一周前被狗咬伤后出现暴发性脓毒症伴休克、多器官功能衰竭和网状青斑。患者入院时即行气管插管,并开始使用血管升压药和抗生素。最终,患者的临床状况有所改善,并转出重症监护病房。血培养在采集两天后检测出氧化酶阳性革兰氏阴性杆菌呈阳性,菌种鉴定显示……