达比加群酯致身体状况不佳患者发生肠球菌坏死性筋膜炎，保守治疗成功：一例报告
Dabigatran-induced Enterococcus Necrotizing Fasciitis in Medically Unfit Patient with Successful Conservative Treatment Outcome: A Case Report.
作者信息
Faris M K, Izzuddin M S, Norazrin M A, Thiru M K
机构信息
Department of Orthopaedic Surgery, Miri Hospital, Miri, Malaysia.
出版信息
Malays Orthop J. 2024 Nov;18(3):80-83. doi: 10.5704/MOJ.2411.012.
Abstract
A 54-year-old gentleman with underlying hypertension and congestive cardiac disease was diagnosed with left lower limb necrotizing fasciitis following commencement of oral dabigatran. Small bruises on the limb progressed to full-blown sepsis. The calculated perioperative risk for surgery was unfavourable. Immediate diagnosis combined with targeted medical treatment managed to produce a medical wonder.
摘要
一名患有高血压和充血性心脏病的54岁男性在开始口服达比加群后被诊断为左下肢坏死性筋膜炎。肢体上的小瘀伤发展为严重脓毒症。手术的围手术期风险评估结果不佳。及时诊断并结合针对性的药物治疗创造了医学奇迹。
Zotero 插件