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  1. Public
  2. 研究紀要
  3. Acta Medica Kindai University
  4. 41(1)2016

<Case Reports> Successful treatment of a necrotizing soft tissue infection with sepsis caused by Aeromonas hydrophila following gastric cancer surgery

https://kindai.repo.nii.ac.jp/records/17628
https://kindai.repo.nii.ac.jp/records/17628
4702768b-2ed7-4eca-a624-85d3d652ced2
名前 / ファイル ライセンス アクション
AA0050842X-20160600-0031.pdf AA0050842X-20160600-0031.pdf (2.7 MB)
Item type ☆紀要論文 / Departmental Bulletin Paper(1)
公開日 2016-07-25
タイトル
タイトル <Case Reports> Successful treatment of a necrotizing soft tissue infection with sepsis caused by Aeromonas hydrophila following gastric cancer surgery
言語 en
著者 Kitano, Yoshinori

× Kitano, Yoshinori

Kitano, Yoshinori

ja-Kana キタノ, ヨシノリ

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Hatabe, Shigeru

× Hatabe, Shigeru

Hatabe, Shigeru

ja-Kana ハタベ, シゲル

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Funai, Sadao

× Funai, Sadao

Funai, Sadao

ja-Kana フナイ, サダオ

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言語
言語 eng
キーワード
主題 Aeromonas hydrophila, necrotizing soft tissue infection, post-operative complications
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
著者 所属
値 Department of Surgery, Sakai Hospital, Kindai University Faculty of Medicine
著者 所属
値 Department of Surgery, Sakai Hospital, Kindai University Faculty of Medicine
著者 所属
値 Department of Surgery, Sakai Hospital, Kindai University Faculty of Medicine
版
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
出版者 名前
出版者 Kindai University Medical Association
書誌情報 en : ACTA MEDICA KINDAI UNIVERSITY

巻 41, 号 1, p. 31-36, 発行日 2016-06
ISSN
収録物識別子タイプ ISSN
収録物識別子 03866092
抄録
内容記述タイプ Abstract
内容記述 [Abstract] A 70-year-old man underwent total gastrectomy and splenectomy for gastric cancer. On the second post-operative day, swelling with redness was noted at the site of drain insertion. The site of redness expanded rapidly and the patient developed purpura with blood blisters complicated by concomitant shock, respiratory failure, and disseminated intravascular coagulation (DIC), leading to a sudden worsening of his general condition. He was diagnosed with a necrotizing soft tissue infection. A drain was inserted through the superficial fascia to initiate irrigation drainage. Aeromonas hydrophila was detected in the subcutaneous effusion and blood cultures. The drainage region was enlarged as needed based on the amount of necrosis. Debridement was performed after his general condition had stabilized. Ninety-two days postoperation, he was transferred to another hospital for skin grafting. Necrotizing soft tissue infections due to A. hydrophila usually have a life-threatening course. However, irrigation drainage through the superficial fascia might be effective when extensive debridement cannot be provided immediately because of a bleeding tendency due to shock or DIC.
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