A fish-stunning wound infection with acute cardiac injury

Chia Nan University of Pharmacy & Science Institutional Repository > 藥理學院 > 保健營養系(所) > 期刊論文 > Item 310902800/28481

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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
显示于类别:	[保健營養系(所) ] 期刊論文

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