Microbiology Laboratory, Multidisciplinary Hospital for Active Treatment "Heart and Brain", 8000 Burgas, Bulgaria.
Department of Microbiology and Virology, Medical University of Varna, 9002 Varna, Bulgaria.
Medicina (Kaunas). 2024 Oct 24;60(11):1748. doi: 10.3390/medicina60111748.
: The aim of the current report is to present three cases of necrotizing fasciitis and sepsis caused by on the Bulgarian Black Sea coast. : Two of the patients are males, 70 and 86 years of age, respectively, and one is an 86-year-old female. Data were collected from the patients' examination records. was isolated on 5% sheep blood agar from wound and blood samples and identified by the automated system Phoenix M50 (BD, Franklin Lakes, NJ, USA). Antimicrobial susceptibility was tested with two well-known methods (disk diffusion and broth microdilution). : All of the patients were admitted to our hospital due to pain, swelling, ulceration, and bullae on the legs and were febrile. They underwent surgery and received intensive care support. One of the patients developed septicemia and septic shock; one of his legs was amputated, but the outcome was fatal. The other patient received immediate approptiate antibiotic and surgical treatment, and the outcome was favorable. The third patient underwent emergency fasciotomy but died a few hours after admission. : Global climate change is affecting the distribution of spp., and their incidence is expected to increase. It is important to highlight the need for awareness among immunocompromised and elderly patients of the potential threat posed by infections.
: 本报告的目的是介绍在保加利亚黑海沿岸由 引起的三例坏死性筋膜炎和脓毒症病例。 : 两名患者为男性，年龄分别为 70 岁和 86 岁，一名为 86 岁女性。数据取自患者的检查记录。 在伤口和血液样本的 5%绵羊血琼脂上分离出 ，并通过 Phoenix M50 自动化系统（BD，Franklin Lakes，NJ，USA）进行鉴定。采用两种知名方法（纸片扩散法和肉汤微量稀释法）进行了药敏试验。 : 所有患者均因腿部疼痛、肿胀、溃疡和水疱而入院，且均发热。他们接受了手术和重症监护支持。其中一名患者发生败血症和感染性休克；他的一条腿被截肢，但结果是致命的。另一名患者立即接受了适当的抗生素和手术治疗，结果良好。第三名患者接受了紧急筋膜切开术，但在入院数小时后死亡。 : 全球气候变化正在影响 spp. 的分布，预计其发病率将会增加。值得强调的是，免疫功能低下和老年患者需要意识到 感染带来的潜在威胁。
