Barnham M, Weightman N
Harrogate General Hospital, United Kingdom.
Emerg Infect Dis. 1998 Apr-Jun;4(2):321-4. doi: 10.3201/eid0402.980224.
Five cases of Clostridium septicum infection secondary to Escherichia coli O157-induced hemolytic uremic syndrome have been reported. We report on three cases (one of which is included in the above five) of dual Cl. septicum and E. coil infection; all three patients were exposed to farm animals. A common zoonotic source for Cl. septicum and E. coli O157 infections should be considered. Patients with hemolytic uremic syndrome should be treated aggressively and monitored closely for Cl. septicum superinfection.
已有报告称,5例由大肠杆菌O157诱发的溶血性尿毒症综合征继发败血梭菌感染。我们报告了3例败血梭菌与大肠杆菌双重感染的病例(其中1例包含在上述5例之中);所有3例患者均接触过农场动物。应考虑败血梭菌和大肠杆菌O157感染存在共同的人畜共患病源。溶血性尿毒症综合征患者应积极治疗,并密切监测是否发生败血梭菌二重感染。