PDF(Pubmed)
Abstract：
Vibrio parahaemolyticus is distributed worldwide in seafood such as fish, shrimp, and shellfish and is a major cause of seafood-borne diarrhoeal disease. Previous studies have reported infections contacting with contaminated seafood seawater. So far, 11 cases reported of skin and soft tissue infections (SSTIs) caused by V. parahaemolyticus, which 5 patients died and 6 survived. We found that transmission through contact with contaminated water also causes infection. We report a 46-year-old male contracted V. parahaemolyticus after being splashed with market sewage. His condition deteriorated rapidly and he died eventually, suggesting that more atypical modes of V. parahaemolyticus transmission may be possible in the future. Literature review revealed that SSTIs due to V. parahaemolyticus are rare, so, detailed questioning of the patient\'s exposure history can help with empirical drug administration early. Patients with immunodeficiency disease and progressive blistering need mandatory debridement urgently. If fascial necrosis is found during debridement, early amputation may save the patient\'s life.
摘要：
副溶血性弧菌分布在世界各地的海鲜，如鱼，虾,和贝类，是海鲜传播腹泻病的主要原因。先前的研究报告了与受污染的海鲜海水接触的感染。到目前为止,11例报告由副溶血性弧菌引起的皮肤和软组织感染（STTI），其中5例患者死亡，6例存活。我们发现，通过接触受污染的水传播也会导致感染。我们报告了一名46岁的男性在被市场污水溅到后感染了副溶血性弧菌。他的病情迅速恶化，最终死亡，提示副溶血性弧菌传播的更多非典型模式在未来可能是可能的。文献综述显示，由副溶血性弧菌引起的SSTI很少见，所以,详细询问患者的暴露史可以帮助早期进行经验性药物管理。患有免疫缺陷疾病和进行性起泡的患者迫切需要强制性清创。如果在清创期间发现筋膜坏死，早期截肢可以挽救病人的生命。
