The 70-year-old aunt was stabbed in the finger while cleaning the shrimp, and almost did not save her entire arm!

Everyone is buying shrimp and washing shrimp, why am I infected with the deadly fungus?

More than 10 days ago, near noon, 70-year-old Aunt Jin bought some live sea shrimp, then washed them at home and prepared to fry the pan. While handling shrimp, Aunt Jin accidentally stabbed her left finger. At that time, there was no obvious pain, no bleeding, and I thought that washing shrimp was no longer routine, so I didn't take it seriously.

The next day, Aunt Jin's left hand appeared swollen and painful, and the person also developed a high fever, up to 40.2 ° C. Local hospital emergency blood routine + CRP: C-reactive protein, 138.55 mg/L, white blood cell count, 17.7 *10^9/L... The indicators of inflammation are significantly increased, and the results of blood and anaerobic bacteria cultures make the doctor take a breath of cool air: Vibrio vulnificus, the infection has entered the blood.

Once this V. vulnificus is infected, the onset of acute disease, the development of the disease is rapid, within 24 to 48 hours, there will be swelling and pain, ulceration, shock, etc., if not timely and correct rescue, about 50% -70% of patients die of septic shock and multi-organ dysfunction. Doctors believe that Aunt Jin is over 70 years old, has many underlying diseases, and has a high risk of surgery, so she must seize the time to transfer to a major hospital for treatment.

Later, the whole arm may not be saved

On the evening of the 3rd day, Aunt Jin was urgently transferred to the Zhejiang Provincial People's Hospital. "Vibrio vulnificus has been infected with blood, and after assessing the injury, it was decided to operate overnight, otherwise the entire arm may not be saved, or even life-threatening." Wang Liang, deputy chief physician of the Department of Hand Surgery and The Department of Repair and Reconstruction Surgery of Zhejiang Provincial People's Hospital, received the notice and immediately rushed to consult.

At this time, the mother's condition was serious, the swelling of the left hand was very obvious, the ring finger and the palm of the hand had become black, necrotic, and the touch was cold. According to the local hospital examination report and on-site assessment, the diagnosis is Vibrio vulnificus sepsis; left-handed gangrenous dermatitis; necrotizing fasciitis, phalangeal osteomyelitis... Without further ado, everyone immediately decided to perform emergency limb-saving surgery overnight.

As soon as I heard that A finger would be cut off, and my mother's mood plummeted. Dr. Wang Liang told Her Aunt that if it dragged on any longer, it would endanger her entire arm and even her life. Eventually, the patient and his family agreed to the surgery.

After full preparation, Wang Liang and others intercepted the necrotic ring finger for the patient overnight, and carefully cleaned up the lesion of infection until the operation was successfully completed in the early morning of the next day. After that, under the cooperation of the Department of Infectious Diseases and other disciplines, anti-infection treatment was actively carried out, and Aunt Jin's condition improved day by day. After the operation, vibrio vulnificus was not detected.

People with weakened immunity should be more protective

Dr. Wang Liang introduced that Vibriovulnificus is a bacterium that inhabits the ocean. If you are contaminated with this bacterium with marine fish, shellfish, shrimp, fish and other stab wounds, or if you eat products infected with Vibrio vulnificus (especially seafood such as raw oysters), or even if the wound is exposed to seawater containing this bacteria, you may be infected with this bacteria. Vibrio vulnificus can multiply on the wound and can cause ulceration and even tissue necrosis. Every year, it is reported everywhere that after being infected, they are forced to amputate their limbs to save their lives, and if they hesitate, they will face death.

"There are a lot of people who get stabbed by seafood every year, but not many people really cause serious infections. In general, people who are old and weak and have very low immunity are more likely to be infected, such as a variety of underlying diseases, including diabetes, chronic kidney failure, lymphoma, pre-existing liver disease (including unexplained cirrhosis), and chronic hepatitis and other diseases are dangerous people. ”

For example, aunt Jin is 70 years old and suffers from basic diseases such as hypertension and diabetes, which is easy to become the target of Vibrio vulnificus. Of course, young and strong should not be taken lightly, for recent (especially wounds) contact with seawater, seafood history, fever, skin damage to the affected limbs and rapid spread of symptoms of patients, should improve the vigilance of Vibrio vulnificus infection, timely to the hospital for treatment, early diagnosis and treatment can improve the success rate of rescue.

Wang Liang suggested that when handling seafood, it is necessary to wear thick gloves such as rubber, which can avoid injury and effectively prevent the infection of Vibrio marine vulnificus; if there is a wound, the wound should not be in contact with seafood and seawater. In addition, seafood is eaten cooked as much as possible.

Source: Zhejiang Medical Online