犬咬致左小腿多杀巴斯德菌感染1例  

Left calf infection with Pasteurella multocida caused by dog bite:a case report

作　　者：易玉玲 段太美 胡礼仪 唐思恬 黄冬梅 白欣鹭 YI Yu-ling;DUAN Tai-mei;HU Li-yi;TANG Si-tian;HUANG Dong-mei;BAI Xin-lu(Department of Laboratory Medicine,People’s Hospital of Chongqing Liang Jiang New Area,Chongqing 401121,China)

机构地区：[1]重庆两江新区人民医院医学检验科,重庆401121

出　　处：《中国感染控制杂志》2024年第12期1584-1587,共4页Chinese Journal of Infection Control

基　　金：重庆市自然科学基金面上项目(cstc2021jcyj-msxmX1110)。

摘　　要：人体多杀巴斯德菌感染罕见,免疫力低下人群易感染。本文报告1例老年女性被犬咬伤左小腿的病例,患者犬咬伤后经急诊常规处置后皮肤软组织感染,伤口周围出现红肿热痛、分泌物渗出、周围组织发黑坏死等临床表现,依据分泌物培养结果及临床表现诊断为多杀巴斯德菌感染,经阿莫西林/克拉维酸钾以及手术对症治疗后患者好转出院。结合文献复习,探讨多杀巴斯德菌感染的临床特征、实验室检查及其治疗方式,旨在提高临床医生对多杀巴斯德菌的认识,做到早发现、早诊断、早治疗。Pasteurella multocida infection in humans is rare,and people with low immunity are susceptible to infection.This paper reports a case of an elderly woman bitten by a dog on her left calf.After routine emergency treatment,patient developed skin and soft tissue infection,presenting clinical manifestations of redness,swelling,heat,and pain around the wound,exudation of secretions,as well as blackness and necrosis of the surrounding tissues,etc,Pasteurella multocida infection was diagnosed according to secrection culture result and clinical manifestations.After amoxicillin/clavulanate potassium and surgical treatments,the patient recovered and was discharged.Based on literature review,this study discusses the clinical characteristics,laboratory examinations,and treatment of Pasteurella multocida infection,aiming to improve clinicians’understanding on Pasteurella multocida,achieve early detection,diagnosis and treatment.

关 键 词：多杀巴斯德菌 犬咬伤 皮肤软组织感染 

分 类 号：R632[医药卫生—外科学]