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- Ken-Ichi Muramatsu, Hiroki Nagasawa, Yuta Murai, Mutsumi Sakurada, Kei Jitsuiki, and Youichi Yanagawa.
- Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan.
- Am J Emerg Med. 2020 Sep 1; 38 (9): 1972.e1-1972.e3.
AbstractAn 85-year-old cachectic man was found unconscious in his home. He had no specific medical history. On arrival, he was in a deep coma and hypothermic state. He had a soft mass the size of his fist in the right lower abdomen without redness or heat. Truncal computed tomography revealed subcutaneous fluid collection with gas formation. A test puncture for right lower abdominal subcutaneous fluid collection revealed pus, so an open incision was performed, with the administration of broad-spectrum antibiotics. Unfortunately, the patient died of sepsis-induced multiple organ failure. The results of abscess culture later revealed Proteus mirabilis, Escherichia coli, and Prevotella melaninogenica. This is the first report of a cold abscess induced by mixed bacteria.Copyright © 2020 Elsevier Inc. All rights reserved.
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