A case of Vibrio vulnificus infection cured promptly without a skin lesion
抄録
症例は67歳男性。前日の生魚の経口摂取後に悪寒戦慄を伴う高熱を呈し当科受診，血液培養よりVibrio vulnificus敗血症と診断した。入院後抗菌薬治療を開始し，壊死性筋膜炎やショックに陥ることなく数日で速やかに改善した。患者は感染リスクとなる肝硬変や免疫抑制を来す疾患を有していなかった。本菌による感染症は一般に重篤で予後不良な疾患と認識されているが，本例のような軽症例も存在することが確認された。今後軽症例を集積することで，Vibrio vulnificus感染症の全体像が明らかになることが期待される。なお，本症例は富山県における最初の報告である。
A 67-year-old male was admitted to our hospital due to shaking chills and high fever on a summer day after having eaten raw fish on the previous day to admission. Promptly after antibiotics were administered to the patient, he recovered in a few days without symptoms of shock or necrotizing fasciitis. Classically, Vibrio vulnificus infections are considered life-threatening as they are associated with high mortality and thought to often affect immunosuppressed patients such those with liver cirrhosis. However, ours is a rare case having no signs of liver cirrhosis or immunosuppressive trouble. A precise picture of the course of Vibrio vulnificus infections should be developed through collecting and analyzing more cases including mild ones such as the one discussed here. Additionally, this is the first Vibrio vulnificus infection case ever reported in Toyama Prefecture.
皮膚病変を認めず，速やかに改善したVibrio vulnificus 敗血症の一例
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