The old man's hands were swollen like this, and he almost killed!Be wary of "the killer in the killer"

After the old man tasted a few salmon

Calling chills

Slightly tingling in the right hand

Two days later the elderly increased the situation

High fever is not retreat, and the spirit is sluggish

The entire right upper limb is gradually red, swollen and hot pain

There are varying blisters

And accompanied by severe vomiting and diarrhea!

On June 15, Nanjing First Hospital introduced the situation of this case.

Old man shock! Respiratory failure! unknown reason!

At that time, the elderly had a refuel toxic shock, and was immediately sent to the rescue room to further monitor the treatment.

Reminder of various test results soon: respiratory failure, internal environmental disorders, and inflammatory factors "explode". As soon as the preliminary examination and assessment was completed, the patient's blood pressure had fallen to a shock state, and was urgently transferred to EICU to strengthen monitoring treatment.

At this time, the doctors were full of questions about the patient's condition: there were no trauma or even small wounds, but there were extremely severe skin soft tissue infections; without basic lung diseases, acute respiratory failure occurred; rapid progress and diarrhea and sepsis reminded this. It is an unusual test that tests doctors and threatens patients.

Faced with the red and swollen right arm, the blisters everywhere, the upcoming "osteophytes and fascia room syndrome" or even the gangrene, doctors immediately puncture the affected limb pus and blood specimen, and conduct NGS (second -generation gene sequencing technology) detection. Strive to clarify the pathogen as soon as possible and implement precise anti -infective treatment.

Finding "rare killer", how to infection?

The next day, the pathogen retrieval results showed that the "trauma" that was not seen in Nanjing for many years -the killer in the killer!

Increasing bacteria, belonging to the genus of the Condrus, it is a bacteria that inhabit the ocean, which is not resistant to high temperature and can be separated from various seafood. It has a brothers who are well known to everyone, that is, the infamous "cholera".

More than 95%of the deprivation of trauma infections occur in subtropical regions, such as Ningbo, Shanghai and other places, especially in summer. Easy people include chronic liver disease, low basic immunity, and long -term alcoholic.

There are three main types of fungus infection, including primary purulent (43.1%), trauma infection (45.9%), and gastroenteritis (5%). After the seafood, the pathogen was bloody through gastrointestinal tract, and purulent hemophilia broke into acute fever, chills, shocks and typical blood -like skin lesions. It can quickly deteriorate into purulent toxic shocks and dysfunction of multiple organs. The mortality rate can exceed 50%, and most of the survivors are also amputated or disabled.

Finally clarified the pathogen, and also understood that the old gentleman who usually needs oral immunosuppressive agents because of the disease is sick. Experts from the Department of Department of Internal Medicine, Urology and other departments gathered an urgent ICU to discuss comprehensive countermeasures.

Through accurate treatment, the body temperature and breathing of the elderly gradually normal, redness and blisters faded a little, arthropping activity, and the swollen skin also had wrinkles.

Doctor urgently reminds! These people should pay special attention to

Doctor reminds: summer inflammation,

When you go to the beach to play water or taste seafood meals,

Be sure to pay attention to protection measures.

In particular, those with low basic immunity or poor liver function should pay attention to wear protective gloves when selecting seafood to prevent injuries. If there are already wounds, avoid contact with fresh seafood and seawater; avoid eating cold shells, try to cook or cook it thoroughly; if seafood is put in the refrigerator refrigerated, it may only temporarily inhibit the metabolism of trauma. Eliminate trauma. If you are injured or eating seafood, there are symptoms such as fever, vomiting, diarrhea, and body swelling of unknown causes, you should seek medical treatment as soon as possible and treat it as soon as possible. After timely and effective treatment, it can generally recover well.

Source: Jiangsu News

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