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抽脂术后腹壁偶然分枝杆菌脓肿

Mycobacterium fortuitum abdominal wall abscesses following liposuction.

作者信息

Al Soub Hussam, Al-Maslamani Eman, Al-Maslamani Mona

出版信息

Indian J Plast Surg. 2008 Jan;41(1):58-61. doi: 10.4103/0970-0358.41113.

DOI:10.4103/0970-0358.41113
PMID:19753203
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2739555/
Abstract

We describe here a case of abdominal abscesses due to Mycobacterium fortuitum following liposuction. The abscesses developed three months after the procedure and diagnosis was delayed for five months. The clues for diagnosis were persistent pus discharge in spite of broad spectrum antibiotics and failure to grow any organisms on routine culture. This condition has been rarely reported; however, the increasing number of liposuction procedures done and awareness among physicians will probably result in the identification of more cases. Combination antibiotic therapy with surgical drainage in more extensive diseases is essential for cure.

摘要

我们在此描述一例吸脂术后因偶然分枝杆菌引起腹部脓肿的病例。脓肿在手术三个月后出现,诊断延误了五个月。诊断线索是尽管使用了广谱抗生素仍有持续的脓液排出,且常规培养未培养出任何微生物。这种情况鲜有报道;然而,吸脂手术数量的增加以及医生意识的提高可能会导致发现更多病例。对于更广泛的疾病,联合抗生素治疗与手术引流对于治愈至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b533/2739555/71a78d692ff7/IJPS-41-58-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b533/2739555/71a78d692ff7/IJPS-41-58-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b533/2739555/71a78d692ff7/IJPS-41-58-g001.jpg

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本文引用的文献

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Skin and soft tissue infections due to rapidly growing mycobacteria: comparison of clinical features, treatment, and susceptibility.快速生长分枝杆菌所致皮肤和软组织感染:临床特征、治疗及药敏比较
Arch Dermatol. 2006 Oct;142(10):1287-92. doi: 10.1001/archderm.142.10.1287.
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The increasing popularity of cosmetic surgery procedures: a look at statistics in plastic surgery.
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Skin and wound infection by rapidly growing mycobacteria: an unexpected complication of liposuction and liposculpture. The Venezuelan Collaborative Infectious and Tropical Diseases Study Group.快速生长分枝杆菌引起的皮肤和伤口感染:抽脂术和脂肪雕塑术的意外并发症。委内瑞拉感染性和热带病协作研究组
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Skin disease and nontuberculous atypical mycobacteria.皮肤病与非结核性非典型分枝杆菌
Int J Dermatol. 2000 Sep;39(9):659-66. doi: 10.1046/j.1365-4362.2000.00821.x.
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Mycobacterium fortuitum infection following neck liposuction: A case report.颈部吸脂术后偶然分枝杆菌感染:一例报告。
Dermatol Surg. 2000 Jun;26(6):588-90. doi: 10.1046/j.1524-4725.2000.99165.x.
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Nosocomial outbreaks/pseudo-outbreaks caused by nontuberculous mycobacteria.非结核分枝杆菌引起的医院感染暴发/假暴发
Annu Rev Microbiol. 1998;52:453-90. doi: 10.1146/annurev.micro.52.1.453.
7
Rapidly growing mycobacterial infection following liposuction and liposculpture--Caracas, Venezuela, 1996-1998.委内瑞拉加拉加斯1996 - 1998年抽脂术和脂肪雕塑术后快速生长的分枝杆菌感染
MMWR Morb Mortal Wkly Rep. 1998 Dec 18;47(49):1065-7.
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Recent changes in taxonomy and disease manifestations of the rapidly growing mycobacteria.快速生长分枝杆菌的分类学和疾病表现的近期变化。
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Atypical mycobacteria periprosthetic infections--diagnosis and treatment.非典型分枝杆菌假体周围感染——诊断与治疗
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