Näher H, Peters B
Hautklinik, Ruprecht-Karls-Universität Heidelberg.
Hautarzt. 1992 Jun;43(6):361-3.
We report on an HIV-infected patient with AIDS in whom a smoothly demarcated area of resistance in the size of a fist was found on the inside of the thigh. Investigation by sonography for clinical differential diagnosis confirmed that a haematoma, a seroma or an abscess might be present. Upon puncture of the cavity, serous exudate was obtained. The microbiological investigation resulted in the growth of Mycobacterium kansasii. The detection of this agent in throat and sputum samples from the patient and the occurrence of an osteomyelitis lesion at the same time indicate that the seroma was a partial manifestation of a disseminated Mycobacterium kansasii infection. No indications of a transcutaneous route of infection was found. Upon antimicrobial chemotherapy after the determination of resistance the seroma disappeared.
我们报告了一名患有艾滋病的HIV感染患者，其大腿内侧发现了一个拳头大小、边界清晰的抵抗区域。通过超声检查进行临床鉴别诊断，证实可能存在血肿、血清肿或脓肿。对该腔隙进行穿刺后，获得了浆液性渗出物。微生物学调查结果显示堪萨斯分枝杆菌生长。在患者的咽喉和痰液样本中检测到该病原体，同时出现骨髓炎病变，这表明血清肿是播散性堪萨斯分枝杆菌感染的部分表现。未发现经皮感染途径的迹象。在确定耐药性后进行抗菌化疗，血清肿消失。
