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从水、土壤以及腐败的肉、鱼和奶制品中已分离出腐败假单胞菌。据报告,该菌引起过少见的软组织感染、肺炎、中耳炎、脑膜炎、尿道感染和败血症。本文报告一例因于海滩沙浴后由腐败假单胞菌引起的感染。患者75岁、男,因发热、寒战和左下肢出现红斑而入院。患者曾患慢性心绞痛,5年前从左下肢采取大隐静脉作冠状动脉搭桥术。此后,左下肢长期轻度水肿,静脉采取部位偶见红斑,但红斑从未与全身症状有关,且局部处理后即消退。入院前一周,左腿红斑增多,并出现疼痛、寒战和发热。体检:体温38.7℃,脉率54次/分,血压120/60 mmHg,呼吸率18次/分;左下肢见有红斑,发硬,有热感,静脉采取部位有触痛,左腹股沟淋巴结肿大;WBC10000/mm~3,
Pseudomonas aeruginosa has been isolated from water, soil and corrupted meat, fish and dairy products. The bacteria are reported to cause infrequent soft tissue infections, pneumonia, otitis media, meningitis, urinary tract infections and sepsis. This article reports an example of an infection caused by Pseudomonas aeruginosa after beach sand bathing. The patient, 75 years old, was admitted to hospital for fever, chills and erythema on the left lower extremity. The patient had had chronic angina and the great saphenous vein was taken from the left lower limb for coronary artery bypass surgery five years ago. Since then, the left lower limb long-term mild edema, occasional venous taking erythema occasionally, but the erythema has never been associated with systemic symptoms, and subsided after the local treatment. One week before admission, erythema of the left leg increased, and pain, chills and fever occurred. Physical examination: body temperature 38.7 ℃, pulse rate 54 beats / min, blood pressure 120/60 mmHg, respiratory rate 18 beats / min; see the left lower extremity erythema, stiff, hot, venous parts tenderness, left inguinal lymph nodes Large; WBC10000 / mm ~ 3,