Ye Gongjie, Li Taohong, Weng Yiru, Dong Zhouzhou
Department of Intensive Care Unit Lihuili Hospital affiliated to Ningbo University Ningbo Zhejiang Province China.
Clin Case Rep. 2025 Jan 26;13(2):e70150. doi: 10.1002/ccr3.70150. eCollection 2025 Feb.
(), a Gram-negative bacterium commonly found in aquatic environments, has the capacity to be transmitted to humans through consumption of contaminated fish, water, or seafood. In this study, we present a case report concerning a 77-year-old female patient who experienced an acute exacerbation of chronic heart failure, subsequently developing severe septic shock due to necrotizing fasciitis caused by . Infections caused by are more prevalent during warmer months, particularly in regions characterized by dense aquaculture or the presence of natural water bodies. The excessive use of antibiotics in aquaculture has contributed to the emergence of antibiotic-resistant strains. The proliferation of multidrug-resistant presents a significant challenge for clinicians. In the context of atypical bacterial infections, the initial empiric therapy typically involves the use of third-generation cephalosporins in conjunction with quinolone antibiotics. In the present case, the patient's successful recovery was achieved through the administration of a combination of cefoperazone/sulbactam and levofloxacin, as determined by sensitivity testing. This case study underscores the critical importance of considering infection in patients with septic shock who present with necrotizing fasciitis.
()是一种常见于水生环境中的革兰氏阴性菌,可通过食用受污染的鱼类、水或海鲜传播给人类。在本研究中,我们报告了一例病例,一名77岁女性患者慢性心力衰竭急性加重,随后因()引起的坏死性筋膜炎发展为严重脓毒性休克。()引起的感染在温暖月份更为普遍,特别是在水产养殖密集或存在天然水体的地区。水产养殖中抗生素的过度使用导致了耐抗生素()菌株的出现。多重耐药()的扩散给临床医生带来了重大挑战。在非典型细菌感染的情况下,初始经验性治疗通常包括使用第三代头孢菌素联合喹诺酮类抗生素。在本病例中,根据药敏试验,通过给予头孢哌酮/舒巴坦和左氧氟沙星的联合用药,患者成功康复。本病例研究强调了在患有坏死性筋膜炎的脓毒性休克患者中考虑()感染的至关重要性。