蒙纳森分枝杆菌：一种可引起手部感染的分枝杆菌病原体。

Mycobacterium monacense: a mycobacterial pathogen that causes infection of the hand.

作者信息

Taieb Aurele, Ikeguchi Ryosuke, Yu Victor L, Rihs John D, Sharma Meenu, Wolfe Joyce, Wollstein Ronit

机构信息

Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

出版信息

J Hand Surg Am. 2008 Jan;33(1):94-6. doi: 10.1016/j.jhsa.2007.10.016.

DOI:10.1016/j.jhsa.2007.10.016

PMID:18261672

Abstract

We present a report of a diabetic patient with an infection of his left thumb and thenar eminence. Standard cultures of drainage and tissue biopsy were unrevealing. The infection progressed despite empiric antibacterial agent therapy and multiple debridements. Two intraoperative tissue biopsies revealed a yellow-pigmented, rapidly growing Mycobacterial nontuberculous species. The organism was identified as Mycobacterium monacense, a newly described species. The patient was cured with a 6-week course of clarithromycin and levofloxacin.

摘要

我们报告一例患有左拇指和鱼际肌感染的糖尿病患者。引流液和组织活检的标准培养均未发现异常。尽管进行了经验性抗菌药物治疗和多次清创，感染仍在进展。两次术中组织活检发现一种黄色色素沉着、生长迅速的非结核分枝杆菌。该菌株被鉴定为蒙纳分枝杆菌，一种新描述的菌种。患者接受了为期6周的克拉霉素和左氧氟沙星治疗后痊愈。