修脚后发生的非典型疖肿分枝杆菌感染。

Atypical Mycobacterium furunculosis occurring after pedicures.

作者信息

Redbord Kelley Pagliai, Shearer David A, Gloster Hugh, Younger Bruce, Connelly Beverly L, Kindel Susan E, Lucky Anne W

机构信息

Department of Dermatology, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.

出版信息

J Am Acad Dermatol. 2006 Mar;54(3):520-4. doi: 10.1016/j.jaad.2005.10.018.

DOI:10.1016/j.jaad.2005.10.018

PMID:16488309

Abstract

Mycobacterium fortuitum complex are rapidly-growing nontuberculous mycobacteria found ubiquitously in the environment including, water, soil, dust, and biofilms. M fortuitum has been reported to cause skin and soft-tissue infections in association with nail salon footbath use during pedicures. Four cases of M fortuitum complex furunculosis are reported that occurred after pedicures in the Cincinnati, Ohio/Northern Kentucky area. Dermatologists and clinicians should consider mycobacterial infections from the M fortuitum complex when patients present with nonhealing furuncles on the lower legs and should inquire about recent pedicures. Early recognition and institution of appropriate therapy are critical. Public health measures should be explored to protect against such infections, given the recent popularity of the nail care industry.

摘要

偶然分枝杆菌复合体是快速生长的非结核分枝杆菌，广泛存在于环境中，包括水、土壤、灰尘和生物膜。据报道，偶然分枝杆菌可导致皮肤和软组织感染，与修脚过程中美甲店足浴的使用有关。报告了4例在俄亥俄州辛辛那提/北肯塔基地区修脚后发生的偶然分枝杆菌复合体疖病病例。当患者小腿出现不愈合的疖肿时，皮肤科医生和临床医生应考虑偶然分枝杆菌复合体引起的分枝杆菌感染，并应询问近期是否修脚。早期识别和采取适当治疗至关重要。鉴于美甲护理行业最近的流行，应探索公共卫生措施以预防此类感染。