Vibrio Vulnificus Infection: Cases Review of a Medical Center and Consideration for Future Directions

海洋弧菌感染：一醫學中心的病例回顧及思考未來的方向

蔡永福(Yoong-Foo Chye) ； 林才民(Tsai-Ming Lin) ； 李書欣(Su-Sheen Lee) ； 盧誌明(Chih-Ming Lu) ； 林幸道(Sin-Daw Lin) ； 賴春生(Cheng-Sheng Lai) ； 張高評(Kao-Ping Chang) ； 劉家銘(Chia-Ming Liu) ； 孫一峰(I-Feng Sun) ； 王文禾(Wen-Her Wang)

《中華民國整形外科醫學會雜誌》 15卷4期 (2006/12) Pp. 349-366

https://doi.org/10.7096/JPSA.200612.0349

摘要

海洋弧菌感染的死亡率相對很高，介於百分之25至90之間。如果病患有敗血症休克發生，死亡率接近百分之百。在過去的二十年間，論文的研究主要集中在抗生素的使用及外科手術的處理。但是缺乏詳細並足夠的描述及治療方法。這是篇回溯性的研究，主要是分析50位海洋弧菌感染的病患，探討是否有吃未煮熟的海產，從事與海產相關的行業及有肝臟疾病等危險因子。在高危險的族群如有感染須早期的抗生素使用及接受清創手術，可避免病患死亡或被截肢的命運。

並列摘要

The mortality rates of Vibrio vulnificus infection have remained relatively high, ranging from 25% to 90% and approaching 100% if septic shock occurred, over the past two decades. Well-documented studies have pointed out some guidelines for antibiotic use and surgical intervention but adequate description and method have not been provided yet. Our studies is a retrospective review of fifty cases of Vibrio vulnificus infection. Consumption of raw or undercooked seafood, marine-related occupations and liver disease are risk factors. Vigilance of this fatal infection in high risk groups along with early medical antibiotics, and surgical debridement may reduce the chance of death or amputation.

並列關鍵字

Vibrio ； Vulnificus infection