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題名 | Aeromonas Hydrophila Sepsis Presenting as Meningitis and Necrotizing Fasciitis in a Man with Alcoholic Liver Cirrhosis=一名酒精性肝硬化患者感染親水性產氣單胞菌敗血症併發腦膜炎及壞死性肌膜炎 |
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作者 | 林傳雄; 鄭舒倖; | 書刊名 | 臺灣醫學會雜誌 |
卷期 | 97:7 1998.07[民87.07] |
頁次 | 頁498-502 |
分類號 | 415.534 |
關鍵詞 | 酒精性肝硬化患者; 親水性產氣單胞菌敗血症; 腦膜炎; 壞死性肌膜炎; Aeromonas hydrophila; Sepsis; Liver cirrhosis; Meningitis; Necrotizing fasciitis; |
語文 | 英文(English) |
英文摘要 | Aeromonas hydrophila is rarely repoted as a causative organism of meningitis in humans. A 39-year-old man with alcoholic liver cirrhosis was admitted with a 2-day history of fever, chills, and confusion. Laboratory data revealed leukocytosis with granulocytosis, marked impairment of renal and liver function, and an elevated serum ammonia level. A. hydrophila was isolated from both blood and cerebrospinal fluid samples. Skin and soft-tissue lesions, consisting of bullae and necrotizing fasciitis, were found in the lower left leg 2 days after admission. Cultures of the bullous fluid, subcutaneous tissue, and fascia all yielded A. hydrophila. Pathologic examination revealed extensive necrosis of subcutaneous tissue and fascia, and changes characteristic of ischemic muscle necrosis. Although the patient was appropriately managed with antibiotics, debridement, and fasciotomies, his clinical status rapidly deteriorated, resulting in death 3 days after admission. |
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