Kohashi T, Sakai H, Marumo F, Sato C
Department of Internal Medicine, Kashiwa City Hospital, Chiba, Japan.
Am J Gastroenterol. 1995 Dec;90(12):2234-5.
A 56-yr-old male who had been followed for alcoholic liver disease was admitted for abdominal pain and a high fever. Gastrointestinal endoscopy revealed bleeding esophageal varices that were treated by endoscopic sclerotherapy. Blood culture on admission was positive for Aeromonas sobria. Then skin bullas and ulcers and severe muscle degeneration developed. The patient died despite extensive treatment with antibiotics. A. sobria infection in patients with liver cirrhosis is rare.
一名因酒精性肝病接受随访的56岁男性因腹痛和高热入院。胃肠内镜检查发现食管静脉曲张出血,并接受了内镜硬化治疗。入院时血培养嗜水气单胞菌呈阳性。随后出现皮肤水疱、溃疡和严重的肌肉变性。尽管使用了大量抗生素治疗,患者仍死亡。肝硬化患者感染嗜水气单胞菌很罕见。