Johnson D A, Aulicino P L, Newby J G
J Trauma. 1984 Mar;24(3):267-70. doi: 10.1097/00005373-198403000-00015.
A patient with an incomplete amputation due to a crush injury to his arm developed a myonecrosis with Gram-positive rods noted on muscle and wound aspirates. The patient was treated for a probable Clostridium perfringens infection but culture results proved the organism to be Bacillus cereus. In light of the reported resistance of Bacillus cereus to penicillin, this case serves to emphasize the importance of expanded empiric coverage with high-dose penicillin and an aminoglycoside pending the return of culture and sensitivity results.
一名因手臂挤压伤导致不完全截肢的患者发生了肌坏死，在肌肉和伤口吸出物中发现革兰氏阳性杆菌。该患者接受了针对产气荚膜梭菌感染的治疗，但培养结果证明该病原体为蜡样芽孢杆菌。鉴于报道的蜡样芽孢杆菌对青霉素耐药，该病例强调了在培养和药敏结果出来之前，扩大经验性用药范围，使用高剂量青霉素和氨基糖苷类药物的重要性。
