肝細胞癌合併C型肝硬変に発症し急速に敗血症性ショックに進展した Edwardsiella tarda 感染壊死性筋膜炎の1例 A case of rapidly progressive fatal septic shock following necrotizing fascilitis due to Edwardsiella tarda with hepatitis C virus related liver cirrhosis complicated hepatocellarcarcinoma

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著者

    • 藤本 真澄 FUJIMOTO Masumi
    • 長崎大学医学部・歯学部附属病院消化器内科(第一内科) Division of gastroenterology and hepatology, First department of internal medicine, Nagasaki university hospital
    • 中尾 一彦 NAKAO Kazuhiko
    • 長崎大学医学部・歯学部附属病院消化器内科(第一内科) Division of gastroenterology and hepatology, First department of internal medicine, Nagasaki university hospital
    • 藤川 敬太 FUJIKAWA Keita
    • 長崎大学医学部・歯学部附属病院消化器内科(第一内科) Division of gastroenterology and hepatology, First department of internal medicine, Nagasaki university hospital
    • 西村 大介 NISHIMURA Daisuke
    • 長崎大学医学部・歯学部附属病院消化器内科(第一内科) Division of gastroenterology and hepatology, First department of internal medicine, Nagasaki university hospital
    • 市川 辰樹 ICHIKAWA Tatsuki
    • 長崎大学医学部・歯学部附属病院消化器内科(第一内科) Division of gastroenterology and hepatology, First department of internal medicine, Nagasaki university hospital
    • 濱崎 圭輔 HAMASAKI Keisuke
    • 長崎大学医学部・歯学部附属病院消化器内科(第一内科) Division of gastroenterology and hepatology, First department of internal medicine, Nagasaki university hospital
    • 江口 勝美 EGUCHI Katsumi
    • 長崎大学医学部・歯学部附属病院消化器内科(第一内科) Division of gastroenterology and hepatology, First department of internal medicine, Nagasaki university hospital

抄録

A 75 year old man with hepatitis C virus related liver cirrhosis and multiple hepatocellular carcinoma admitted in our hospital due to swelling, redness and pain on both legs. On admission, laboratory data revealed neutropenia, low proteinemia, high C-reactive protinemia and expenditure of coagulation factors. His skin lesion had blisters on both legs. Thirteen hours after admission, he had died according to septic shock. <i>Edwardsiella tarda</i> were proved by culture of blood and fluid from blister. Our patient was diagnosed as necrotizing fascilitis and fatal septic caused by <i>Edwardsiella tarda</i>. Although necrotizing fascilitis due to <i>Edwardsiella tarda</i> is rare complication of cirrhosis, we must put forward an attention that this infection may lead to origin of serious condition in cirrhotic patients.<br>

収録刊行物

  • 肝臓 = ACTA HEPATOLOGICA JAPONICA  

    肝臓 = ACTA HEPATOLOGICA JAPONICA 47(5), 273-274, 2006-05-25 

    The Japan Society of Hepatology

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各種コード

  • NII論文ID(NAID)
    10018070608
  • NII書誌ID(NCID)
    AN00047770
  • 本文言語コード
    JPN
  • 資料種別
    SHO
  • ISSN
    04514203
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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