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首页> 外文期刊>感染症学雑誌 >A case of septicemia type Vibrio vulnificus infection with necrotizing fasciitis rescued by lower extremity amputation
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A case of septicemia type Vibrio vulnificus infection with necrotizing fasciitis rescued by lower extremity amputation

机译：下肢截肢垄断败血症型败血症型抗原裂纹感染

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摘要

We report a case of septicemia type Vibrio vulnificus infection. The patient was a 74-year-old man who had liver cirrhosis and hepatocelluler carcinoma. He felt a pain in the right femoral lesion after eating raw shellfish (Japanese "Umitake") two days ago. He was admitted to our emergency center due to his shock status and thrombocytopenia two days after the onset. We diagnosed necrotizing fasciitis due to Vibrio vulnificus infection, his life was saved by emergency amputation of the right lower extremity. The culture of the blood and vesicle fluid showed Vibrio vulnificus. There are some reports that the debridement was effective to necrotizing fasciitis due to Vibrio vulnificus infection, but these reports are all about single upper extremity lesion. As far as we know, this is the second report of lower extremity necrotiaong fasciitis due to septicemia type Vibrio vulnificus infection rescued by extremity amputation in Japan. The mortality of septicemia type Vibrio vulnificus infection with necrotizing fasciitis is very high, this is quite a valuable report in making a decision for therapy of septicemia type Vibrio vulnificus infection.
机译：我们举报了败血症型椎血症型vibrio Wulnfificus感染。患者是一名74岁的男子，肝硬化和肝细胞癌癌。在两天前吃草贝类（日本“umitake”）后，他感受到了右侧股病变的疼痛。由于他的休克状态和发病后两天，他因其呼吸状态和血小板减少症而入住了急救中心。由于vibrioulnificus感染，我们诊断出坏死性筋膜炎，他的生命被右下末端的紧急截肢率挽救了他的生命。血液和囊泡流体的培养显示vibrio wharnificus。有一些报道中，作品因vibriorulnificus感染而对坏死性筋膜炎有效，但这些报告都是关于单末端病变。据我们所知，这是由于日本四肢截肢垄断救出的败血症型抗血症型抗血症型抗粘性筋膜炎的第二次报告。败血症型血管性感染的败血症型骨髓炎的死亡率非常高，这是一个非常有价值的报告，在制定败血症型Vibrio Wulnfificus感染的治疗方面是一项重要的报道。

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