海洋創傷弧菌合併敗血症病例報告及文獻回顧

Vibrio Vulnificus, the Bacterium Associated with Septicemia: A Case Report and Review of Literature

馬鴻均(Hung-Chune Maa) ； 陳維仁(Wei-Jen Chen) ； 錢奕軒(I-Shinan Chien)

《中華職業醫學雜誌》 1卷4期 (1994/10) Pp. 162-166

摘要

本文報告一位海水養殖漁夫，因海洋創傷弧菌感染合併敗血症而入院。在入院前一天，病人被漁池中的海水漁咬傷左足之後，發現左足至左大腿有水泡形成且合併昏狀態。所以，病人被送往高雄長庚醫院急診室；在憶斷為左足至左大腿壞死性筋膜炎合併敗血性休克，立即行膝上截肢手術；經血液培養是海洋創傷弧菌感染。病人在經外科數次擴創術及適當的抗生素藥物治療，在病發二個月後病情穩定出院，門診繼續追蹤。在台灣的職業醫學令域尚無此海洋創傷弧菌合併敗血症病例報告，故在此提出。

關鍵字

海洋創傷弧菌 ； 敗血症

並列摘要

A 56-ear-old marine fishman of vibrio vulnificus, the bacterium associated with septicemia was presented. One day before admission, he suffered from marine fish injury over the left foot. Then the bullous formation from the left foot to the left thigh and comatous status was found, 50 he was sent to Chang Gung Memorial Hospital Kaohsiung. Under the impression of necrotizing fascitis from the left foot to the left thigh with septic shock, he underwent high above-knee amputation immediately. The blood culture showed vibrio vulnificus growth. However, the occupational medicine in Taiwan, the vibrio vulnificus associated septicemia was uncommon.

並列關鍵字

vibrio vulnificus ； septicemia