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首页> 外文期刊>Internal medicine journal >Sepsis and fulminant multi-organ failure associated with Vibrio vulnificus infection.
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Sepsis and fulminant multi-organ failure associated with Vibrio vulnificus infection.

机译:与创伤弧菌感染相关的败血症和暴发性多器官衰竭。

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摘要

A 71-year-old man presented with a 3-day history of fever, rigors and progressive swelling, redness and blistering of both lower limbs, 5 days after wading knee deep in a local lagoon. Past medical history included ischaemic heart disease, type 2 diabetes, primary sclerosing cholan-gitis and long-standing lower limb swelling related to chronic venous stasis.On admission he was in septic shock with multi-system organ failure, including acute renal failure, disseminated intravascular coagulation and a severe lactic acidosis. There was evidence of severe lower limb cellulitis extending to the knees bilaterally, with prominent haemor-rhagic bullae (Fig. 1).
机译:一名71岁的男子在局部泻湖深蹲膝盖5天后出现发烧,严峻和下肢进行性肿胀,发红和起泡的3天病史。过去的病史包括缺血性心脏病,2型糖尿病,原发性硬化性胆管炎和与慢性静脉淤积相关的长期下肢肿胀。入院时曾感染败血性休克,并伴有多系统器官衰竭,包括急性肾衰竭。血管内凝血和严重的乳酸性酸中毒。有证据表明,严重的下肢蜂窝组织炎双侧延伸至膝盖,伴有明显的流血性大疱性大疱(图1)。

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