Critical care medicine · 2004
Rapidly advancing necrotizing fasciitis caused by Photobacterium (Vibrio) damsela: a hyperaggressive variant.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Goodell Kristen H, Jordan Michael R, Graham Roger, Cassidy Charles, Nasraway Stanley A
Аннотация
OBJECTIVE: To describe the first case of Vibrio damsela necrotizing fasciitis in New England, emphasizing the importance of very early operative intervention to achieve source control in this extremely aggressive infection.
DESIGN: Case report.
SETTING: Surgical intensive care unit at Tufts-New England Medical Center in Boston, MA.
PATIENT: A 69-yr-old retired fisherman with rapidly progressive necrotizing fasciitis from Photobacterium (Vibrio) damsela infection and ensuing multiple-system organ failure.
INTERVENTIONS: Surgical debridement, ventilator support, vasopressors, continuous veno-venous hemofiltration, and blood product transfusions.
MEASUREMENTS AND MAIN RESULTS: Death.
CONCLUSIONS: A high index of suspicion is necessary for the diagnosis of this specific pathogen and concordant infection. The willingness to surgically debride and amputate without hesitation at a very early point may be the only intervention capable of saving the lives of patients affected by Photobacterium (Vibrio) damsela.
DESIGN: Case report.
SETTING: Surgical intensive care unit at Tufts-New England Medical Center in Boston, MA.
PATIENT: A 69-yr-old retired fisherman with rapidly progressive necrotizing fasciitis from Photobacterium (Vibrio) damsela infection and ensuing multiple-system organ failure.
INTERVENTIONS: Surgical debridement, ventilator support, vasopressors, continuous veno-venous hemofiltration, and blood product transfusions.
MEASUREMENTS AND MAIN RESULTS: Death.
CONCLUSIONS: A high index of suspicion is necessary for the diagnosis of this specific pathogen and concordant infection. The willingness to surgically debride and amputate without hesitation at a very early point may be the only intervention capable of saving the lives of patients affected by Photobacterium (Vibrio) damsela.