Cases reported "Wounds, Stab"

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1/2. Hand infections caused by delayed inoculation of vibrio vulnificus: does human skin serve as a potential reservoir of vibrios?

    vibrio vulnificus may cause severe soft tissue infections of the upper extremity. This pathogen usually gains access to soft tissues either by direct inoculation through a penetrating injury by an infected marine animal or by exposing abraded skin to contaminated water. We report five patients with vibrio vulnificus hand infections following superficial hand injuries incurred within 24 hours after uneventful handling of fish. This clinical observation, together with the fact that the physiologic characteristics of human sweat simulate the natural environment of the vibrio vulnificus, support the assumption that human skin may serve as a reservoir for Vibrios. The anamnesis in patients presenting with hand infection should essentially include an inquiry regarding recent, albeit uneventful, fish handling.
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2/2. Can microorganisms produce alcohol in body cavities of a living person?: a case report.

    Unusual endogenous ethanol production in intraabdominal bloody fluid of an individual who was stabbed in the abdomen and who developed peritonitis after a peritoneotomy is discussed. In the intraabdominal bloody fluid, 2.45 mg/g ethanol and 0.079 mg/g n-propanol were detected. The level of ethanol in the heart blood was about 1 mg/g. The level of n-propanol indicates that a large quantity of ethanol was produced endogenously in the intraabdominal bloody fluid. In an animal experiment in which rats were injected with 20 mL of 10% glucose mixed 5:1 with a presumed volume of rat blood into the abdominal cavity after injury of the small intestine to allow enterobacteria to spread into the cavity, a significant quantity of ethanol was produced in the administered fluid while the animals were alive. The antemortem ethanol production in the intraabdominal bloody fluid of the victim might have been caused by the microorganisms responsible for the peritonitis after the operation.
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