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嗜水气单胞菌菌血症及继发于坏死性筋膜炎的感染性休克:一例报告

Shewanella algae Bacteremia and Septic Shock Secondary to Necrotizing Fasciitis: A Case Report.

作者信息

Tse Gerald, Angullia Natesha E

机构信息

Department of Anaesthesiology, Singapore General Hospital, Singapore, SGP.

出版信息

Cureus. 2025 Jun 18;17(6):e86259. doi: 10.7759/cureus.86259. eCollection 2025 Jun.

DOI:10.7759/cureus.86259
PMID:40688924
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12275504/
Abstract

(), a marine Gram-negative bacillus, is an emerging opportunistic pathogen capable of causing infections in humans. While mostly associated with mild skin and soft tissue infections, severe invasive infections, such as bacteremia and septic shock, are rare but increasingly reported. We present a case of fatal  bacteremia and septic shock secondary to necrotizing fasciitis in a patient with significant comorbidities, including recent bariatric surgery, rapid weight loss, and possible malnutrition, highlighting the role of host factors in fulminant disease progression.

摘要

()是一种海洋革兰氏阴性杆菌,是一种新兴的机会性病原菌,能够引起人类感染。虽然大多与轻度皮肤和软组织感染有关,但严重的侵袭性感染,如菌血症和感染性休克,虽罕见但报告越来越多。我们报告一例患有严重合并症(包括近期减肥手术、体重快速下降和可能的营养不良)的患者因坏死性筋膜炎继发致命菌血症和感染性休克的病例,突出宿主因素在暴发性疾病进展中的作用。

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本文引用的文献

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Immunometabolic Changes Following Gastric Bypass and Sleeve Gastrectomy: A Comparative Study.胃旁路手术和袖状胃切除术后的免疫代谢变化:一项对比研究。
Obes Surg. 2025 Feb;35(2):481-495. doi: 10.1007/s11695-024-07598-3. Epub 2025 Jan 11.
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Influence of bariatric surgery on the peripheral blood immune system of female patients with morbid obesity revealed by high-dimensional mass cytometry.通过高维液质流式细胞术揭示肥胖症女性患者接受减重手术后外周血免疫系统的变化。
Front Immunol. 2023 May 11;14:1131893. doi: 10.3389/fimmu.2023.1131893. eCollection 2023.
3
Case Report: A Case of Sepsis due to Shewanella algae Infection in the Colombian Caribbean.
病例报告:哥伦比亚加勒比地区由海生假交替单胞菌感染引起的败血症病例。
Am J Trop Med Hyg. 2023 May 9;109(1):35-37. doi: 10.4269/ajtmh.22-0786. Print 2023 Jul 5.
4
infection in humans: Epidemiology, clinical features and pathogenicity.人类感染:流行病学、临床特征和致病性。
Virulence. 2022 Dec;13(1):1515-1532. doi: 10.1080/21505594.2022.2117831.
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Emerging Infections Due to spp.: A Case Series of 128 Cases Over 10 Years.由 spp. 引起的新发感染:10 年期间 128 例病例系列
Front Med (Lausanne). 2022 Apr 29;9:850938. doi: 10.3389/fmed.2022.850938. eCollection 2022.
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Micronutrients deficiences in patients after bariatric surgery.肥胖症患者手术后的微量营养素缺乏症。
Eur J Nutr. 2022 Feb;61(1):55-67. doi: 10.1007/s00394-021-02619-8. Epub 2021 Jul 23.
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The Shewanella genus: ubiquitous organisms sustaining and preserving aquatic ecosystems.希瓦氏菌属:普遍存在的生物体,维持和保护水生生态系统。
FEMS Microbiol Rev. 2020 Mar 1;44(2):155-170. doi: 10.1093/femsre/fuz031.
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Shewanella algae Bacteremia in an End-stage Renal Disease Patient: A Case Report and Review of the Literature.一名终末期肾病患者的海藻希瓦氏菌血症:病例报告及文献综述
Intern Med. 2017;56(6):729-732. doi: 10.2169/internalmedicine.56.7616. Epub 2017 Mar 17.
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Gut Pathog. 2013 Jun 20;5(1):15. doi: 10.1186/1757-4749-5-15.
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