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創傷性海洋弧菌感染引起壞死性肌膜炎及敗血性休克:病例報告

Necrotizing Fasciitis with Septic Shock Caused by Vibro vulnificus Infection: Case Report

摘要


創傷性海洋弧菌是一種嗜監弧菌,樓息於沿海各地。其引起的感染主要臨床表徵包括原發性敗血症及傷口感染。傷口感染的表現可以爲蜂窩組織炎、出血性水泡、血管炎、壞死性肌膜炎和敗血性休克。大部份病人死於住院後48小時內。我們報告一位與海水有關之傷口感染,且快速併發敗血性休克之病例。我們也強調對於這種嚴重威脅生命的感染,除了投予適當抗生素,早期診斷與外科手術治療對於病人之存活是相當重要的。

並列摘要


Vibrio vulnificus is a halophilic Vibro species which are widely distributed in marine environments. The main clinical features of V.vulnificus infection include primary sepsis and wound infection. The presentations of wound infection may be cellulitis, hemorrhagic bullae, vasculitis, necrotizing fasciitis and septic shock. Most patients die within 48 hours of hospitalization. We report a case of seawaterrelated wound infection which was complicated by rapidly developing septic shock. We wish to emphasize that early diagnosis and surgical intervention in addition to appropriate antimicrobial therapy are critical for such a life-threatening infection

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