Lynch J M, Tilson W R, Hodges G R, Barnes W G, Bopp W J, Watanabe I
South Med J. 1981 Jul;74(7):901-2. doi: 10.1097/00007611-198107000-00039.
An elderly man, without heat in his home for two days, presented with cold, painful, swollen feet. Second-degree frostbite was present. After having moist packs applied to his feet for five days, the patient became febrile and hypotensive, and wet gangrene necessitated left below-knee and right above-knee amputations. Aeromonas hydrophila was isolated from the patient's blood and cultures of the pedal wounds. An etiologic role of the moist pack therapy is postulated.
一名老年男性,家中断暖两天,出现双脚冰冷、疼痛、肿胀,诊断为二度冻伤。对其双脚进行湿敷料治疗五天后,患者发热且血压降低,湿性坏疽致使左下肢膝下和右下肢膝上截肢。从患者血液及足部伤口培养物中分离出嗜水气单胞菌。推测湿敷料治疗起了致病作用。