[Comprehensive] Septicemia caused by fish prawns and crabs

Mr. Wong, who was injured by a fishbone, was infected with Vibrio vulnificus and apparently had a "fascia compartment syndrome."

It is during the crab-feeding season that the public should be vigilant and stabbed when peeling crabs.

According to reports, a 75-year-old man in Guangzhou recently suffered a necrotizing fasciitis when he was treated with crab claws in a 75-year-old man's right hand. The condition developed rapidly within three days and eventually died of illness due to excessive illness.

Experts remind that people must be more careful when handling and handling seafood, otherwise they may even die.

Case 1

Fingers were slightly punctured by fishbone, and they were infected with "killer" bacteria

A month ago, Mr. Huang, who was handling seafood at home, was accidentally punctured by a fishbone to the pulp of his left index finger. At that time, he had only slight pain and a small amount of bleeding, so he did not care. Unexpectedly, his left palm and left forearm experienced redness and pain the next day, and pinkish blisters and exudates appeared at the root of the palm. Mr. Huang hastened to visit Zhongshan Hospital.

A doctor's examination revealed that Mr. Huang had been infected with the V. vulnificus known as the "killer in the sea." The mortality rate of the disease within 48 hours was as high as 50%, and the overall mortality rate was 70%. With the rapid progress of infection, many patients are forced to amputate and cannot save their lives. The doctor said that Mr. Huang's left hand and left forearm had obvious "musculoskeletal compartment syndrome." Muscles and nerves were oppressed. It soon became ischemic and necrotic. Only emergency open decompression was necessary to keep the affected limb.

After more than four hours of emergency surgery, Mr. Huang’s hands and forearms have retained most of their muscle and nerve function. With the late treatment, germs can be effectively controlled.

Doctors said that if the wounds come into contact with contaminated seawater, shellfish or fish, they may be infected with this type of Vibrio. In general, the infection is mostly mild; but for high-risk groups, this type of Vibrio infection may spread rapidly and cause severe myositis and myometitis, causing severe gangrene.

Case 2

The right foot was stabbed by a fishbone, and no life was saved after the amputation.

In May 2013, Mr. Shizhuang bought a pound of squid at the fish wholesale market and prepared to go home and make soup for his son. On the way, the bag filled with fish broke and the fish's thorn wound Zhuang's right foot. He did not care because the wound was not large. At night, his feet began to redden and his pain increased. The next morning, he initiated a high fever and went to Zhongshan Hospital to see the emergency department. Unexpectedly, the condition developed very rapidly. The doctor found that his blood pressure was always low and he was advised to stay in hospital immediately.

Just over six hours later, by 11 o'clock in the evening, his condition quickly deteriorated. He had severe sepsis and his right foot began to ulcerate and he was promoted to the operating room. The condition was still uncontrollable. In order to protect his life, the doctor had to perform an amputation surgery for him and cut off the lower part of his right knee. At this time, he had only been used for 50 hours. However, in the end, due to the failure of multiple organs, Mr. Zhuang could not escape the fate and died because of the rescue.

Dr. Xiu Yibin, deputy chief physician of the emergency department of Zhongshan Hospital, introduced that after bacterial culture, Mr. Zhuang’s pathogen was found to be Aeromonas hydrophila. The bacterium is very pathogenic and can cause sepsis in a short time, resulting in the failure of multiple organs.

【remind】

Sterile to be disinfected by seafood

Get medical attention if you have symptoms

Dr. Jiang Xiaoyong, deputy chief physician of the Department of Dermatology at Zhongshan Hospital, introduced that during the daily visits, people often get infected with fish, prawns, crabs, shrimp and other seafood stabbed wounds, mainly in the kitchen workers and fisheries practitioners, common It is a kind of bacterial infection. A few months ago, he had received a case in which the patient was the younger brother of a food delivery person. When the fish was delivered to the store, his finger was punctured by a fishbone. The whole finger was red and swollen the next day and was diagnosed as "erythroidoid". "Erysipelas-like" generally does not have systemic symptoms, but there are also some patients with fever, joint pain, multiple organ damage and other systemic symptoms. Jiang Xiaoyong pointed out that there is also a relatively serious infection - pool granuloma, mainly found in fisheries practitioners and kitchen workers.

Dr. Xiu Yibin, deputy chief physician of the emergency department of Zhongshan Hospital, reminded that seafood may carry pathogenic bacteria. If it is stabbed or the wound comes into contact with contaminated seawater, it can lead to infection of the wound and cause sepsis, cellulitis, etc., resulting in limb necrosis. Even life threatening. Although the citizens do not need to be overly nervous, they should not be taken lightly if they are struck by seafood.

He reminded fish farmers and fish farmers that they should use rubber gloves to prevent skin from being scratched when changing seafood and cleaning fish tanks. If you are accidentally scratched, clean and disinfect the skin. Once skin symptoms occur, be sure to go to the hospital in time.