Necrotizing Fasciitis Caused by Pseudomonas aeruginosa
スポンサーリンク
概要
- 論文の詳細を見る
An 85-year-old man patient was admitted to the hospital complaining of fever and bilateral leg pain with swelling and erythema. A laboratory investigation revealed leukocytopenia, thus suggesting sepsis. Gram negative rods were detected in the specimen from the affected skin and empiric antibacterial therapy was initiated. The following day, his symptoms worsened and Pseudomonas aeruginosa was isolated from the blood culture and the skin specimen. Magnetic resonance imaging (MRI) did not show the typical characteristics of necrotizing fasciitis. In spite of intensive medical treatment, the patient's condition became critical, and on day 10 after admission, he died of multiple organ failure. An autopsy revealed necrotizing fasciitis due to P. aeruginosa. This is a rare case and its clinical presentation was atypical. The clinical diagnosis of this infection may be difficult, and therefore such cases warrant the careful attention of physicians.
- 社団法人 日本内科学会の論文
著者
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Fujita Jiro
Department Of Infectious Respiratory And Digestive Medicine Control And Prevention Of Infectious Dis
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Akamine Morikazu
Department Of Medicine And Therapeutics Control And Prevention Of Infectious Diseases (first Departm
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Uchihara Teruhito
Department Of Medicine And Therapeutics Control And Prevention Of Infectious Diseases (first Departm
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Higa Futoshi
Department Of Infectious Respiratory And Digestive Medicine Control And Prevention Of Infectious Dis
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Yara Satomi
Department Of Infectious Respiratory And Digestive Medicine Control And Prevention Of Infectious Dis
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Haranaga Shusaku
Department Of Infectious Respiratory And Digestive Medicine Control And Prevention Of Infectious Dis
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Nakayama Takashi
Division Of General Thoracic Surgery Department Of Surgery Keio University School Of Medicine
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Miyagi Kazuya
Department of Infectious, Respiratory, and Digestive Medicine, Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus
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Azuma Masato
Department of Internal Medicine, Okinawa Prefectural Nanbu Medical Center, Japan
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Azuma Masato
Department of Medicine and Therapeutics, Control and Prevention of Infectious Diseases, University of the Ryukyus
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Tateyama Masao
Department of Infections, Respiratory, and Digestive Medicine, Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus, Japan
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Tateyama Masao
Department of Medicine and Therapeutics, Control and Prevention of Infectious Diseases, University of the Ryukyus
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Matsuzaki Akiko
Division of Pathology, Faculty of Medicine, University of the Ryukyus
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Haranaga Shusaku
Department of Infections, Respiratory, and Digestive Medicine, Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus, Japan
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Haranaga Shusaku
Department of Medicine and Therapeutics, Control and Prevention of Infectious Diseases, University of the Ryukyus
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Miyagi Kazuya
Department of Medicine and Therapeutics, Control and Prevention of Infectious Diseases, University of the Ryukyus
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Higa Futoshi
Department of Infections, Respiratory, and Digestive Medicine, Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus, Japan
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Higa Futoshi
Department of Medicine and Therapeutics, Control and Prevention of Infectious Diseases, University of the Ryukyus
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Yara Satomi
Department of Medicine and Therapeutics, Control and Prevention of Infectious Diseases, University of the Ryukyus
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Akamine Morikazu
Department of Internal Medicine, Okinawa Red Cross Hospital
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Akamine Morikazu
Department of Medicine and Therapeutics, Control and Prevention of Infectious Diseases, University of the Ryukyus
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