Case Reports: Fatal Necrotizing Fasciitis Caused by Aeromonas sobria in Two Diabetic Patients
Case Reports: Fatal Necrotizing Fasciitis Caused by Aeromonas sobria in Two Diabetic Patients
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DOI：
10.1007/s11999-008-0504-0
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发表时间：
2009-03-01
影响因子：
4.2
通讯作者：
Hsu, Robert Wen-Wei
中科院分区：
文献类型：
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作者：
Tsai, Yao-Hung;Huang, Kuo-Chin;Hsu, Robert Wen-Wei
我们报告两个罕见的病例温和气单胞菌坏死性筋膜炎与败血症的糖尿病患者。在这两种情况下，立即进行筋膜切开术，并给予适当的经验性抗菌治疗和重症监护。然而，2例患者分别在入院后第2天和第11天死于多器官衰竭。当患者出现快速皮肤坏死和进行性脓毒症时，鉴别诊断中应考虑温和气单胞菌感染或弧菌感染。
We report two rare cases of Aeromonas sobria necrotizing fasciitis with sepsis in patients with diabetes. In both cases, immediate fasciotomy was performed and appropriate empiric antimicrobial therapy and intensive care were administered. However, the two patients died on Day 2 and Day 11, respectively, after admission as a result of multiple organ failure. When patients present with a rapid onset of skin necrosis and progressive sepsis, an Aeromonas sobria infection or Vibrio infection should be considered in the differential diagnosis.