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#2岁幼童感染创伤弧菌面临截肢#
The topic has attracted widespread attention
Recently, a 2-year-old boy in Zhuhai came into contact with fish when he followed his grandmother to the vegetable market, resulting in Vibrio vulnificus infection.
According to the description of the child's father, Mr. Chen: "The fish was killed, and he was allowed to carry it, and it was during this process that he may have come into contact with the fish, and then he had a recurrent fever and his right foot was swollen." ”
The boy was rushed to the ICU for intensive care. At present, the boy is now past the life-threatening period of sepsis and is at risk of amputation of his right foot.
It is understood that Vibrio vulnificus is a bacterium that lives in warm seawater, known for its strong virulence and high mortality rate, and is mostly active in March ~ November, especially in summer.
▲Vibrio vulnificus under the microscope. Source: Peking Union Medical College Hospital
Recent
Infections with Vibrio vulnificus are not uncommon
How dangerous is Vibrio vulnificus?
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Case 1:
On 20 April, the Macao Health Bureau received a report of one case of Vibrio vulnificus infection. The patient, a 62-year-old male with a history of alcoholic cirrhosis, was treated at Conde de Januário General Hospital for fever, abdominal pain and diarrhoea, and eventually died of deterioration and was diagnosed with Vibrio vulnificus and septic shock. Prior to the onset of the disease, the patient had handled and consumed seafood at home, and the family members said that they could not determine whether the seafood was thoroughly ripe.
Case 2:
Mr. Shi from Shenzhen was accidentally stabbed by a tilapia bone, his middle finger turned black, and the joint position of the palm of his hand was swollen, and he was sent to the Southern University of Science and Technology Hospital for treatment. Since it had been more than 40 hours since the injury was sought at the time of medical treatment, the general condition was very bad, and it was judged to be septic shock. Eventually, the man's middle finger was amputated. Upon examination, it was confirmed that Mr. Sze was infected with Vibrio vulnificus.
Case 3:
Two days later, her left hand was swollen, painful, fatigue, and joint soreness in her left hand, until the high fever did not go away, and she was sent to the Third Affiliated Hospital of Southern Medical University for treatment in confusion. Examination revealed that it was a Vibrio vulnificus infection, the bacteria had already entered the bloodstream, and the patient developed severe sepsis, and emergency surgery was required to save the left hand.
April 23rd
Guangdong CDC issued a health reminder
Please pay attention to the general public
Avoid raw food and wound contact with seafood products
Be alert for Vibrio vulnificus infection
Four groups of people are susceptible to severe infection
In daily life, the common ways of infection of Vibrio vulnificus are: raw seafood and wound contact.
High-risk groups with the following conditions are prone to serious infection:
- Patients with cirrhosis and other types of liver disease;
- HIV carriers, systemic lupus erythematosus and other immunocompromised patients;
- Patients with chronic diseases such as cardiovascular and cerebrovascular diseases, diabetes, and chronic heart failure;
- Drunkard.
Vibrio vulnificus is dangerous
But healthy people with normal immune function
It is not easy to get infected through raw food
Do 5 points to avoid infection
How can I effectively prevent Vibrio vulnificus infection?
Dr. Huang Qiong, an expert in the field of nutrition and food safety of the Guangdong Provincial Health Science Popularization Expert Database and deputy director of the Institute of Nutrition and Food Safety of the Guangdong Provincial Center for Disease Control and Prevention, suggested that you do the following 5 points according to the two pathways of Vibrio vulnificus infection:
1) Do not eat raw seafood
Patients with liver disease, immunodeficiency (due to treatment or underlying medical conditions), and alcoholics should avoid eating raw seafood.
2) Avoid punctures
When washing and handling seafood, separate raw and cooked seafood, and wear gloves to avoid punctures. If you have uncomfortable symptoms such as redness and swelling after being punctured, you should seek medical attention in time.
3) Seafood should be cooked thoroughly
For shellfish: Boil and boil until the shells are 5 minutes after the shells have opened, steam until 9 minutes after the shells have opened, and do not eat shellfish with the shells not open during cooking.
For seafood without shell: boil, boil for 3 minutes and sauté at about 190°C for at least 10 minutes.
4) Consume promptly
Seafood should be eaten promptly after cooking, and the remaining part should be sealed and refrigerated.
5) Avoid going into the sea
If you have a wound on your body or have a weakened immune system, avoid swimming in the sea.
Edit | Ren Junfei is in charge of the editor| Zhang Xiuli
Source | Guangdong CDC, Nanyue Female Voice, Beijing Youth Daily, Guangzhou Daily
Produced by the Guangdong Health Online all-media team