虎咬伤皮肤软组织感染继发血流感染1例报告

Bloodstream infection secondary to skin and soft tissue infection after a tiger bites: one case report

摘要:

多杀巴斯德菌和嗜水气单胞菌是罕见的人类致病菌,发生在大型猫科动物咬伤后导致人畜共患感染的报道较为少见,本文报告了中国首例老虎咬伤后伤口感染多杀巴斯德菌和嗜水气单胞菌的病例。菌株鉴定和药敏试验采用BD PHOENIXTM100全自动微生物分析仪,患者经伤口清创、手术干预及联合抗菌药物治疗后预后良好出院。本文旨在提示急诊医生在遇到罕见的大型猫科动物咬伤时,考虑多杀巴斯德菌和嗜水气单胞菌混合感染的可能性。

Abstract:

Pasteurella multocida and Aeromonas hydrophila are rare human pathogens, and zoonotic infections caused by bites of big cats are rarely reported. This paper reported the first case of wound infection caused by Pasteurella multocida and Aeromonas hydrophila after tiger bites in China. Strain identification and drug susceptibility testing were conducted by BD PHOENIXTM100 automatic microbial analyzer. The patient was discharged with a good prognosis after wound debridement, surgical intervention and combined antimicrobial treatment. This paper aims to advise emergency physicians to consider the possibility of co-infection of Pasteurella multocida and Aeromonas hydrophila when encountering rare big cat bites.