Devi D R G, Indumathi V A, Indira S, Babu P R S, Sridharan D, Belwadi M R S
Department of Microbiology, MS Ramaiah Medical Teaching Hospital, Bangalore - 560 054, Karnataka, India.
Indian J Med Microbiol. 2003 Apr-Jun;21(2):133-4.
Injection abscess is an iatrogenic infection occurring as an isolated case or as cluster outbreak. These infections occur due to contaminated injectables or lapse in sterilisation protocol. While pathogens such as Pseudomonas, Klebsiella, E. coli, and S. aureus are the usual causative agents, unusual organisms such as mycobacteria, particularly the rapidly growing non-tuberculous mycobacteria (NTM) may cause the abscess. The chances of overlooking these organisms is high unless an acid fast bacilli (AFB) smear and culture is done on all aspirated pus specimens. We report a case of a three year old child who presented with a gluteal abscess following an intramuscular infection with an unknown preparation.
注射性脓肿是一种医源性感染，可呈散发病例或群体暴发。这些感染是由受污染的注射剂或灭菌规程失误所致。虽然假单胞菌、克雷伯菌、大肠杆菌和金黄色葡萄球菌等病原体是常见的致病因素，但分枝杆菌等不常见的微生物，尤其是快速生长的非结核分枝杆菌（NTM）也可能导致脓肿。除非对所有抽取的脓液标本进行抗酸杆菌（AFB）涂片和培养，否则很有可能漏诊这些微生物。我们报告一例3岁儿童病例，该患儿在接受未知制剂肌肉注射后出现臀部脓肿。
