塞拉蒂亚马尔塞森斯 (Serratia marcescens) 关节结节炎:一个病例报告
Ramez Sakkab1, Tyler MacRae1, Quynh Giao Nguyen1
1*Scripps Mercy Hospital, San Diego, CA.
Journal of the American Podiatric Medical Association
|July 19, 2023
概括
来自Serratia marcescens的死性膜炎很罕见,但致命. 这一案例凸显了这种感染的快速进展和高死亡率,即使有治疗.
科学领域:
- 传染性疾病 传染性疾病
- 微生物学 微生物学
- 关键护理医学 关键护理医学
背景情况:
- 死性筋膜炎是一种严重的细菌感染,死亡率高.
- 及时的医疗和手术干预对于治疗死性带炎至关重要.
- 塞拉蒂亚马尔塞森斯可以通过毒素引起严重的炎症反应.
研究的目的:
- 报告一种罕见的死角性带炎病例,这种病例是由Serratia marcescens引起的.
- 为了描述Serratia marcescens诱导的死性带炎的临床表现和进展.
- 讨论在患有并发病的老年患者中管理这种罕见感染的挑战.
主要方法:
- 一个90岁的男性患者的病例报告.
- 从血液和伤口培养物中鉴定了Serratia marcescens.
- 临床评估和多学科团队咨询.
主要成果:
- 患者出现了和细胞炎,后来被诊断为死角性带炎.
- 证实Serratia marcescens是病原体. 这种植物被证实是病原体.
- 尽管接受了抗生素治疗,但由于败血症和器官衰竭,患者的病情迅速恶化,导致36小时内死亡.
结论:
- 塞拉蒂亚马尔塞森斯可以导致快速致命的死性带炎.
- 积极的管理,包括手术除菌,往往是必要的.
- 患者的并发症和决策影响严重感染的治疗结果.
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