[犬咬伤后嗜狼性巨噬菌致致致命性败血症]。

Medizinische Klinik Pub Date : 2010-10-01 Epub Date: 2010-10-28 DOI:10.1007/s00063-010-1126-5
Werner Handrick, Ilona Schwede, Ulf Steffens
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引用次数: 8

摘要

一名56岁的男子被狗咬伤。8天后,由于他的临床情况严重恶化,他住进了医院。他发展了暴发性败血症的临床表现。尽管进行了积极的重症监护治疗,病人还是在24小时后死亡。从最初的血培养中鉴定出鲸嗜糖菌。这种革兰氏阴性杆状菌是狗和猫正常口腔菌群的一部分。它可以通过叮咬、舔舐或抓伤传播给人类,并引起严重感染,特别是在具有特殊危险因素(脾切除术、酗酒)的人群中。已公布病例的死亡率为25-30%。
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[Fatal sepsis due to capnocytophaga canimorsus after dog bite].

A 56-year-old man was bitten by a dog. 8 days later he was admitted to a hospital because of severe deterioration of his clinical situation. He developed the clinical picture of fulminant sepsis. In spite of aggressive intensive care therapy the patient died 24 hours later. Capnocytophaga canimorsus was identified from initial blood cultures. This gram-negative rod is part of the normal oral flora of dogs and cats. It can be spread to humans by bites, licking or scratches and causes severe infections, especially in persons with special risk factors (splenectomy, alcoholism). The mortality rate in the published cases is 25-30%.

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Medizinische Klinik
Medizinische Klinik 医学-医学:内科
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[Liver--gallbladder]. [Iron deficiency]. [Frontotemporal dementia]. [Hepatic encephalopathy]. [ON CHILD ABUSE].
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