Kvernberg Joachim, Peterslund Paul
Anæstesiologisk Intensiv Afdeling, Odense Universitetshospital - Svendborg.
Ugeskr Laeger. 2025 Mar 3;187(10):V08240567. doi: 10.61409/V08240567.
This case report highlights a rare case of systemic bacterial infection with F. plautii, causing severe septic shock leading to invasive diagnostic measures with negative findings. The treatment was antibiotics along with steroids and inotropic agents at the ICU. This is the only eigth published case report worldwide, with every case having differing sites of infection with F. plautii. The only obvious common is that seven of eight patients described were immunocompromised and presented with severe sepsis, demanding a high level of care.
本病例报告重点介绍了一例罕见的由普氏奋森氏螺旋体引起的全身性细菌感染病例，该感染导致严重的感染性休克，进而采取侵入性诊断措施，但结果呈阴性。治疗方法是在重症监护病房使用抗生素、类固醇和强心剂。这是全球仅有的第八篇发表的病例报告，每例普氏奋森氏螺旋体感染的部位都不同。唯一明显的共同点是，所描述的八名患者中有七名免疫功能低下，并出现严重脓毒症，需要高水平的护理。
