TY -的A2 Adnan穆罕默德盟——Kohya Risako AU -井,太极盟,田口Yudai AU -萨瓦伊首席盟——Takehara Masaya盟——Nagahama Masahiro盟——Itaya Kazufumi盟——小池百合子,29岁非盟- Endo阿雅拿盟,小野Yuji AU - Nagasaka Atsushi盟——Nishikawa认盟,中村渡PY - 2022 DA - 2022/09/30 TI -尸检的情况迅速恶化perfringens梭状芽胞杆菌败血症大肠癌SP - 1071582六世- 2022 AB -这份报告提出了一个60岁的人被诊断出患有升结肠癌淋巴结转移的多发性肝转移。三天前的第一次化疗,他参观我们医院由于高烧。血液测试显示增加炎症反应,肝胆的酶水平,乳酸脱氢酶(LDH)水平,肾功能恶化。对比度增强型计算机断层扫描(CT)的快速发展主要损伤和肝转移病灶。治疗5 -氟尿嘧啶、亚叶酸和铂和西妥昔单抗(FOLFOX / Cmab)发起,后,病人被我们医院化疗的第一天。半夜时分,他有发冷、红色的尿液,快速血氧不足。第二个血液测试显示贫血的发展;增加总胆红素、天冬氨酸转氨酶和LDH水平;和减少血小板和纤维蛋白原水平。血清是红酒的颜色,表明溶血。 The respiratory condition rapidly deteriorated, and tracheal intubation was performed and transferred into the intensive care unit. However, blood oxygenation did not increase, and the patient died the next morning, 19 h after admission, despite intensive care. Postmortem CT showed intraperitoneal free air and gas retention in the liver tumor and portal vein system. Pathological autopsy revealed perforation in ascending colon cancer, many Gram-positive rods in the perforation site, dissemination of bacteria throughout the body, and diffuse pulmonary edema. Subsequently, blood cultures reported perfringens梭状芽胞杆菌(CP) alpha-toxin的产物。CP感染可以导致快速恶化和突然死亡。医生应该意识到这种高度致命的感染,导致直接的诊断和治疗。SN - 2090 - 6625你2022/1071582 / 10.1155——https://doi.org/10.1155/2022/1071582——摩根富林明——病例报告传染病PB - Hindawi KW - ER