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成年男性反复出现疖病伴中性粒细胞活性异常。

Repeated furunculosis in adult male with abnormal neutrophil activity.

作者信息

Forte W C, Noyoya A M, de Carvalho Júnior F F, Bruno S

机构信息

Immunology Section of Santa Casa Medical School and Hospital, São Paulo, Brazil.

出版信息

Allergol Immunopathol (Madr). 2000 Nov-Dec;28(6):328-31.

Abstract

A 21 years old male suffered from repeated furunculosis in different regions of the body over the last two years. This coincided with the start of professional activities in hospital surroundings. The purulent secretions all showed growth of Staphylococcus aureus. All laboratory tests were normal except for a decrease of the neutrophil phagocytic ingestion phase. Before the diagnosis of defective phagocytosis was made, antibiotic treatment was started about 4 to 5 days after the appearance of the infectious process and the furunculosis led to abscess formation with difficult healing and cellulitis. After the diagnosis of defective phagocytosis ingestion phase, personal hygiene was intensified during and after work shifts at the hospital and antibiotic treatment was started at the first signs of folliculitis, which showed healing.

摘要

一名21岁男性在过去两年中身体不同部位反复出现疖病。这与他开始在医院环境中从事专业活动的时间相吻合。所有脓性分泌物均培养出金黄色葡萄球菌。除中性粒细胞吞噬摄取期降低外,所有实验室检查均正常。在诊断出吞噬作用缺陷之前,在感染过程出现后约4至5天开始使用抗生素治疗,疖病导致脓肿形成,愈合困难并伴有蜂窝织炎。在诊断出吞噬摄取期缺陷后,在医院工作班次期间和之后加强了个人卫生,并在毛囊炎的最初迹象出现时就开始使用抗生素治疗,结果显示病情有所好转。

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