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題 名 | Aeromonas Hydrophila Septicemia in Acute Hand Injury: A Case Report=急性手外傷感染Aeromonas Hydrophila敗血症之病例報告 |
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作 者 | 楊錦江; 孫一峰; 劉家銘; 賴春生; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 20:7 2004.07[民93.07] |
頁 次 | 頁351-356 |
分類號 | 416.15 |
關鍵詞 | 手感染; 敗血症; Aeromonas hydrophila; Hand infection; Sepsis; |
語 文 | 英文(English) |
中文摘要 | 六十四歲女性婦人於 91 年 4 月 29 日下午在公園散步,因被狗吠追逐而跌倒,傷及右手中指背側皮膚。病患即刻到診所就醫並照 X 光 (沒有骨折)。30 日上午仍舊照常工作,整理家務事,包括用自來水清洗地板。很不幸到了下午,右手逐漸腫脹疼痛異常,雖然曾到另一診所接受抗生素注射,仍然沒效。因此 5 月 1 日清晨七時三十分急診就醫。到院當時有發燒,嘔吐,嚴重下痢,以及血壓下降的現象。在蜂窩組織炎的診斷下住院觀察治療。病患曾有高血壓及慢性肝病病史,並有定期接受治療。住院當晚九時,緊急接受肌膜切開手術以緩解手掌腫脹壓迫,術中可見嚴重出血性水,術後併發敗血症,住院加護病房治療三天。血液和水都培養出 Aeromonas hydrophila 的細菌。五天後亦可見右腋窩下紅腫熱痛結節,於 5 月 6 日及 15 日兩次施與清創手術,切除壞死的皮下脂肪及肌膜組織。同時給與適當的抗生素,經過強化的傷口照顧及支持療法,病況改善良多,並於 5 月 22 日給予植皮成功。病患於 5 月 28 日非常的高興及滿意出院,經過一年多的追蹤,傷口愈合不錯,手部機能良好。臨床上,若是有接觸過清水而併發手外傷感染,除了懷疑霍亂弧菌以外是要考慮到 Aeromonas hydrophila 感染的可能性,應予以早期治療才能避免手部殘障的後遺症。 |
英文摘要 | Aeromonas hydrophila is an uncommon and frequently overlooked cause of skin and soft-tissue infection. Rapid onset of cellulitis and bullae formation in the setting of soft-tissue trauma in connection with exposure to fresh water should alert the clinician to the possibility of infection by this organism. We report a case of severe necrotizing fasciitis due to A. hydrophila infection involving the hand and arm, complicated by septicemia within 30 hours of injury. In addition to appropriate antibiotic therapy and general supportive care, treatment involves early surgical exploration for compartment decompression and aggressive debridement of all necrotic tissue followed by skin grafting for delayed wound closure. There was good functional outcome after more than 1 year of follow-up. Early awareness of A. hydrophila infection, as well as of infection by Vibrio, is necessary in preventing crippling deformities of the hand in post-traumatic wound infection with a history of exposure to fresh water. |
本系統中英文摘要資訊取自各篇刊載內容。