Braithwaite P A, Challis D C, McCartney P W
Med J Aust. 1982 Jun 12;1(12):515-9. doi: 10.5694/j.1326-5377.1982.tb124148.x.
This paper reports a case of clostridial myonecrosis (gas gangrene) which occurred in a vegetable gardener receiving immunosuppression therapy with prednisolone and azathioprine for renal allograft preservation. The infection developed after the excision of crusted squamous-cell carcinomata from the dorsum of the hand, the circulation of which was compromised by the presence of a radial artery/cephalic vein arteriovenous fistula. Amputation, followed by treatment with hyperbaric oxygen, was successful.
本文报告了一例梭菌性肌坏死(气性坏疽)病例,该病例发生在一名蔬菜园艺工人身上,他因肾移植保存而接受泼尼松龙和硫唑嘌呤的免疫抑制治疗。感染在手背部结痂鳞状细胞癌切除后发生,由于桡动脉/头静脉动静脉瘘的存在,其血液循环受到影响。截肢后辅以高压氧治疗,取得了成功。