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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/28481


    標題: A fish-stunning wound infection with acute cardiac injury
    作者: Chan, Khee-Siang
    Cheng, Kuo-Chen
    Lee, Mei-Feng
    Yu, Wen-Liang
    貢獻者: 保健營養系
    關鍵字: VIBRIO-VULNIFICUS
    SEPTIC SHOCK
    SEPSIS
    日期: 2014-03
    上傳時間: 2015-05-06 21:17:52 (UTC+8)
    出版者: W B Saunders Co-Elsevier Inc
    摘要: Vibrio vulnificus typically causes septicemia and necrotic wound infection. Among V vulnificus-related complications, acute nonthrombotic myocardial damage has not been reported. The most effective antibiotic treatment of V vulnificus infection includes combination of a third-generation cephalosporin and a tetracycline or its analogue. However, recommendations of a fourth-generation cephalosporin-based regimen for treating the disease are not established. A 67-year-old diabetic man acquired V vulnificus infection via a fish-stunning wound on the right foot. The patients developed septicemia and hemorrhagic bullous necrotic wounds and followed by acute nonthrombotic cardiac injury with low cardiac output. After initial resuscitation, we applied dobutamine inotropic therapy with combination of cefpirome and ciprofloxacin or minocycline, which achieved a good clinical outcome.
    關聯: American Journal of Emergency Medicine, v.32 n.3, 2980
    Appears in Collections:[保健營養系(所) ] 期刊論文

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