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创伤性肉毒中毒:手部损伤的一种危及生命的并发症。

Wound botulism: a life-threatening complication of hand injuries.

作者信息

Thorne F L, Kropp R J

出版信息

Plast Reconstr Surg. 1983 Apr;71(4):548-51.

PMID:6338548
Abstract

Botulism is usually associated with the ingestion of food contaminated with Clostridium botulinum, and these organisms occasionally contaminate traumatic injuries. It is unusual for them to result in clinical infection, but when this occurs, it is a catastrophe completely out of proportion to the degree of wound injury. A case is presented in which typical manifestations of descending cranial nerve and generalized motor paralysis were noted. Prolonged respiratory and general supportive assistance was required, as is usually the case. Although mortality rates in this disease are high, recovery is usually complete in survivors and was true in this instance.

摘要

肉毒中毒通常与摄入被肉毒梭菌污染的食物有关,这些细菌偶尔也会污染创伤性损伤。它们导致临床感染的情况并不常见,但一旦发生,就会造成与伤口损伤程度完全不成比例的灾难。本文报告一例出现下行性颅神经和全身性运动麻痹典型表现的病例。通常情况下,需要长时间的呼吸支持和一般支持性护理。尽管这种疾病的死亡率很高,但幸存者通常能完全康复,本病例也是如此。

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