火傷患者の傷口及び血液からのVibrio alginolyticusの分離

Isolation of Vibrio alginolyticus from Wounds and Blood of a Burn Patient

　症例報告：1973年11月5日，全体表面の67.5％以上に2〜3度の火傷を受けて，37歳の白人女性が，米陸軍外科研究所に入院した．46％は第3度と推定され，全体表面に及び，手，足は大部分第3度である．火傷は，1973年11月4日，フロリダ，キーウェスト海岸のボートで，船内エンジンに給油中に，ガソリン気体に引火して起こった．患者は当初，爆発で転倒し，燃えているボートから救出され，炎を消すために海水につけられた．患者は火傷後2時間以内にキーウェスト空軍基地病院に運ばれ，直ちに蘇生術が開始された．その日しばらくして，外科研究所の火傷チームが到着し患者は検討され，救急機で外科研究所に運ばれた．彼女は集中治療室に入れられ，重体と記載された．重症の火傷に伴う多くの合併症が発生し，合併症が認められると治療が行われた．熱心な治療努力にかかわらず，彼女の心臓は停止し，1973年11月9日息を引き取った．

CASE REPORT-A 37-year-old white female was admitted to the U. S. Army Institute of Surgical Research on November 5, 1973, after sustaining second- and third-degree burns^*1 over 67. 5 per cent of her total body surface. Forty-six per cent was estimated to be third degree, involving all portions of the body with most of the third-degree component on the legs and arms. The injury was incurred on November 4, 1973, when gasoline fumes ignited in a boat off Key West, Florida while the inboard engine was being refueled. The patient, initially knocked down by the explosion, was rescued from the burning boat and was immersed in the water to extinguish the flames.^*2 The patient was transported within the first two hours postburn to the Key West Naval Air Base Hospital where immediate resuscitation was begun. Later that day a burn team from the Institute of Surgical Research arrived at the Naval Hospital, and the patient was evaluated and transported by air ambulance to the Institute of Surgical Research. She was admitted to the intensive care unit and was listed as seriously ill. Numerous complications^*3 associated with severe burns developed and therapy was provided as these were recognized. Despite strenuous therapeutic efforts, she suffered a cardiac arrest and expired^*4 on November 9, 1973.