致死性死性筋膜炎由帕斯特雷拉多菌引起 没有皮肤发现:当疼痛是线索时
David J Vogt1, Vanessa Frey1, Ruth Valek2
1Internal Medicine, Spital Limmattal, Schlieren, CHE.
Cureus
|February 27, 2026
概括
由Pasteurella multocida引起的死性筋膜炎很少见,尤其是没有皮肤损伤的情况下. 这一案例突出了严重的疼痛作为早期症状,强调了深层软组织感染的及时诊断和治疗.
科学领域:
- 传染性疾病 传染性疾病
- 手术病理学手术病理学
- 紧急医疗 紧急医疗
背景情况:
- 死性筋膜炎是一种严重的细菌感染深层软组织.
- 早期诊断对于患者的生存至关重要,但由于非特异性的初始症状,这可能是具有挑战性的.
研究的目的:
- 报告一种极为罕见的致死性死性带炎病例,由帕斯泰雷拉多种菌引起.
- 突出诊断挑战和识别这种情况的潜在陷.
主要方法:
- 一个老年女性患者的病例报告,病情迅速恶化.
- 对临床表现,诊断成像 (CT扫描) 和死后血液培养的审查.
- 对Pasteurella multocida的潜在非咬伤传播途径的分析.
主要成果:
- 患者出现了严重的手臂疼痛和炎症标志物升高,但没有最初的皮肤变化.
- 验尸后的血液培养发现了Pasteurella multocida.
- 追溯式CT扫描显示了带胀和软组织串流,与死角性带炎相一致.
结论:
- 帕斯泰雷拉多可导致死性带炎,即使没有穿透性创伤,也可能通过与物接触.
- 与身体发现不成比例的严重疼痛可能是唯一的早期指标.
- 在有不成比例疼痛的败血症患者中,对深层软组织感染的警对于及时干预至关重要.
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